PERSONAL MEDICAL SUPPLY INC. NPI 1225023898

NPI Information

NPI: 1225023898
Provider Name: PERSONAL MEDICAL SUPPLY, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
373 W 1ST DR
DECATUR, IL
ZIP 62521
Phone: (217) 422-1271
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PERSONAL MEDICAL SUPPLY, INC. is a durable medical equipment medical supplies in Decatur, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PERSONAL MEDICAL SUPPLY, INC. NPI is 1225023898. The provider is registered as an organization entity type.

The provider's business location address is:

373 W 1ST DR
DECATUR, IL
ZIP 62521-207
Phone: (217) 422-1271
Fax: (217) 422-7066

The provider's authorized official is Sharon A Mc Chancy .
The authorized official title is Owner and has the following contact phone number (217) 422-1271.

The enumeration date for this NPI number is 9/20/2005 and was last updated on 10/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		203-000093	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0247260001	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
2	=========001	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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