Provider Demographics
NPI:1972684579
Name:BEMES HOME MEDICAL INC
Entity Type:Organization
Organization Name:BEMES HOME MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:BAGWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-343-1100
Mailing Address - Street 1:810 SUNPARK DR
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-5388
Mailing Address - Country:US
Mailing Address - Phone:636-343-1100
Mailing Address - Fax:636-343-1102
Practice Address - Street 1:810 SUNPARK DR
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-5388
Practice Address - Country:US
Practice Address - Phone:636-343-1100
Practice Address - Fax:636-343-1102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO18988121332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO196991OtherBLUE CROSS BLUE SHIELD
MO626196000Medicaid
MO196991OtherBLUE CROSS BLUE SHIELD