Provider Demographics
NPI:1336124650
Name:DAVID BAME JR
Entity Type:Organization
Organization Name:DAVID BAME JR
Other - Org Name:EQUIP-TO-CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:BAME
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:607-967-5922
Mailing Address - Street 1:160 COUNTY ROAD 38
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:13733-3377
Mailing Address - Country:US
Mailing Address - Phone:607-967-5922
Mailing Address - Fax:607-428-0429
Practice Address - Street 1:160 COUNTY ROAD 38
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE
Practice Address - State:NY
Practice Address - Zip Code:13733-3377
Practice Address - Country:US
Practice Address - Phone:607-967-5922
Practice Address - Fax:607-428-0429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5118460001Medicare NSC