NATIONAL WOUND CARE LLC NPI 1922012608

NPI Information

NPI: 1922012608
Provider Name: NATIONAL WOUND CARE LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4112B FIELDSTONE RD
CHAMPAIGN, IL
ZIP 61822
Phone: (217) 355-2680
Get Directions

NATIONAL WOUND CARE LLC is a durable medical equipment medical supplies in Champaign, 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. NATIONAL WOUND CARE LLC NPI is 1922012608. The provider is registered as an organization entity type.

The provider's business location address is:

4112B FIELDSTONE RD
CHAMPAIGN, IL
ZIP 61822-810
Phone: (217) 355-2680
Fax: (217) 355-5538

The provider's authorized official is Johnny Lee Prince .
The authorized official title is President Owner and has the following contact phone number (217) 355-2680.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 10/4/2017.

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				Yes
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			No

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	1029939	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
2	1308230003	MEDICARE PIN	ILLINOIS
3	371386148	OTHER		TRICARE
4	2208828	MEDICAID	OHIO
5	R9560	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
6	4582222	MEDICAID	TENNESSEE
7	90001322	OTHER		UNISYS
8	28251100	MEDICAID	FLORIDA
9	200397280A	MEDICAID	INDIANA
10	1308230003	MEDICARE NSC	ILLINOIS
11	1119627	OTHER		PASSPORT
12	371386148001	OTHER	ILLINOIS	PUBLIC AID

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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