Provider Demographics
NPI:1942312707
Name:BAN-NIX HOME MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:BAN-NIX HOME MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:M
Authorized Official - Last Name:NICKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-885-1925
Mailing Address - Street 1:PO BOX 6330
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-6330
Mailing Address - Country:US
Mailing Address - Phone:808-885-1925
Mailing Address - Fax:808-885-3681
Practice Address - Street 1:64-1032 MAMALAHOA HWY
Practice Address - Street 2:SUITE #306
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8441
Practice Address - Country:US
Practice Address - Phone:808-885-1925
Practice Address - Fax:808-885-3681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIW20520452-01332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI07908901Medicaid
HI20862-9OtherHMSA
HI20862-9OtherHMSA