Provider Demographics
NPI:1790768737
Name:MONARCH MEDICAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:MONARCH MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETT
Authorized Official - Middle Name:D
Authorized Official - Last Name:ASHER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:573-204-8112
Mailing Address - Street 1:1225 OLD CAPE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MO
Mailing Address - Zip Code:63755-2266
Mailing Address - Country:US
Mailing Address - Phone:573-204-8112
Mailing Address - Fax:573-204-8114
Practice Address - Street 1:1225 OLD CAPE RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MO
Practice Address - Zip Code:63755-2266
Practice Address - Country:US
Practice Address - Phone:573-204-8112
Practice Address - Fax:573-204-8114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001007478332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO4248630001Medicare ID - Type Unspecified