Provider Demographics
NPI:1669897096
Name:BADGER HEALTH CORP
Entity type:Organization
Organization Name:BADGER HEALTH CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-445-0075
Mailing Address - Street 1:1275 S 2ND ST STE A
Mailing Address - Street 2:
Mailing Address - City:RATON
Mailing Address - State:NM
Mailing Address - Zip Code:87740-2209
Mailing Address - Country:US
Mailing Address - Phone:575-445-0075
Mailing Address - Fax:
Practice Address - Street 1:955 S 2ND ST
Practice Address - Street 2:
Practice Address - City:RATON
Practice Address - State:NM
Practice Address - Zip Code:87740-2301
Practice Address - Country:US
Practice Address - Phone:575-445-7629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-21
Last Update Date:2015-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies