BYRD-WATSON SOUTH 9TH DRUG CO NPI 1437147246

NPI Information

NPI: 1437147246
Provider Name: BYRD-WATSON SOUTH 9TH DRUG CO

Doing Business As: BYRD-WATSON MEDICAL DOWNTOWN

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
1200 MAIN ST
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 242-2800
Get Directions

BYRD-WATSON SOUTH 9TH DRUG CO is an oxygen equipment and supplies durable medical equipment medical supplies in Mount Vernon, IL. BYRD-WATSON SOUTH 9TH DRUG CO NPI is 1437147246. The provider is registered as an organization entity type.
The provider Is Doing Business As Byrd-watson Medical Downtown.

The provider's business location address is:

1200 MAIN ST
MOUNT VERNON, IL
ZIP 62864-821
Phone: (618) 242-2800
Fax: (618) 244-4816

The provider's authorized official is Adam Breeze .
The authorized official title is Officer Of The Corporation and has the following contact phone number (618) 244-5400.

The enumeration date for this NPI number is 10/6/2005 and was last updated on 8/24/2023.

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				No
2	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			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	140146	OTHER	ILLINOIS	HEALTH ALLIANCE
2	177625	OTHER	ILLINOIS	HEALTHLINK
3	4132044	OTHER	ILLINOIS	BCBS OF IL

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

NPI Synchronization or Removal

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