BWDC MEDICAL EQUIPMENT CO. NPI 1629068341

NPI Information

NPI: 1629068341
Provider Name: BWDC MEDICAL EQUIPMENT CO.

Doing Business As: BYRD WATSON MEDICAL EQUIP CO

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

Specialization: Oxygen Equipment & Supplies

Address:
123 N LOCUST ST
CENTRALIA, IL
ZIP 62801
Phone: (618) 532-3045
Get Directions

BWDC MEDICAL EQUIPMENT CO. is an oxygen equipment and supplies durable medical equipment medical supplies in Centralia, IL. BWDC MEDICAL EQUIPMENT CO. NPI is 1629068341. The provider is registered as an organization entity type.
The provider Is Doing Business As Byrd Watson Medical Equip Co.

The provider's business location address is:

123 N LOCUST ST
CENTRALIA, IL
ZIP 62801-303
Phone: (618) 532-3045
Fax: (618) 533-0572

The provider's authorized official is Wesley N Breeze .
The authorized official title is Owner Pres and has the following contact phone number (618) 532-3045.

The enumeration date for this NPI number is 10/25/2005 and was last updated on 5/21/2012.

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	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	203000105	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	0264350001	MEDICARE ID-TYPE UNSPECIFIED
2	=========004	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

NPI Synchronization or Removal

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