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PERSONAL COMFORT SUPPLIES OF WI NPI 1568580207


NPI Information

NPI: 1568580207
Provider Name: PERSONAL COMFORT SUPPLIES OF WI
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1220 MOUND AVE
SUITE 315
RACINE, WI
ZIP 53404
Phone: (188) 836-4360
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PERSONAL COMFORT SUPPLIES OF WI is a durable medical equipment medical supplies in Racine, WI. 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 COMFORT SUPPLIES OF WI NPI is 1568580207. The provider is registered as an organization entity type.

The provider's business location address is:

1220 MOUND AVE
SUITE 315
RACINE, WI
ZIP 53404-350
Phone: (188) 836-4360

The provider's authorized official is Nicole Mctizic .
The authorized official title is President and has the following contact phone number 18883643600.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 8/22/2020.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
141759100MEDICAIDILLINOIS

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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