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QUAD COUNTY HOME MEDICAL SUPPLIES & EQUIPMENT NPI 1740306885


NPI Information

NPI: 1740306885
Provider Name: QUAD COUNTY HOME MEDICAL SUPPLIES & EQUIPMENT
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
8 HUBER ST
PANA, IL
ZIP 62557
Phone: (217) 562-6362
Get Directions

QUAD COUNTY HOME MEDICAL SUPPLIES & EQUIPMENT is a durable medical equipment medical supplies in Pana, 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. QUAD COUNTY HOME MEDICAL SUPPLIES & EQUIPMENT NPI is 1740306885. The provider is registered as an organization entity type.

The provider's business location address is:

8 HUBER ST
PANA, IL
ZIP 62557-721
Phone: (217) 562-6362
Fax: (217) 562-6395

The provider's authorized official is James E Moon .
The authorized official title is Chief Financial Officer and has the following contact phone number (217) 562-2131.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 11/17/2016.


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 Supplies203000103Yes

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=========002MEDICAIDILLINOIS
20615040001MEDICARE OSCAR/CERTIFICATIONILLINOIS

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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