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SOUTHERN ILLINOIS SURGICAL APPLIANCE CO NPI 1659475879


NPI Information

NPI: 1659475879
Provider Name: SOUTHERN ILLINOIS SURGICAL APPLIANCE CO

Doing Business As: SISA HOME MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
207 EAST MAIN ST
DUQUOIN, IL
ZIP 62832
Phone: (618) 542-3876
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SOUTHERN ILLINOIS SURGICAL APPLIANCE CO is a durable medical equipment medical supplies in Duquoin, 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. SOUTHERN ILLINOIS SURGICAL APPLIANCE CO NPI is 1659475879. The provider is registered as an organization entity type.
The provider Is Doing Business As Sisa Home Medical.

The provider's business location address is:

207 EAST MAIN ST
DUQUOIN, IL
ZIP 62832
Phone: (618) 542-3876
Fax: (618) 542-6157

The provider's authorized official is Robert R Lewis .
The authorized official title is President and has the following contact phone number (618) 932-3157.

The enumeration date for this NPI number is 9/8/2006 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 SuppliesIN PROCESSILLINOISYes
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesIN PROCESSILLINOISX

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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