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COUNTRY HEALTH INC NPI 1972847507


NPI Information

NPI: 1972847507
Provider Name: COUNTRY HEALTH, INC

Doing Business As: COUNTRY HEALTH CARE & REHAB

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

Specialization: Oxygen Equipment & Supplies

CLIA Number: 14D0674369

Address:
2304 COUNTRY ROAD 3000 NORTH
GIFFORD, IL
ZIP 61847
Phone: (217) 568-7362
Get Directions

COUNTRY HEALTH, INC is an oxygen equipment and supplies durable medical equipment medical supplies in Gifford, IL. COUNTRY HEALTH, INC NPI is 1972847507. The provider is registered as an organization entity type.
The provider Is Doing Business As Country Health Care & Rehab.

The provider's business location address is:

2304 COUNTRY ROAD 3000 NORTH
GIFFORD, IL
ZIP 61847-756
Phone: (217) 568-7362
Fax: (217) 568-7314

The provider's authorized official is David Underwood .
The authorized official title is Exec Vp, Cfo and has the following contact phone number (309) 823-7135.

The CLIA number assigned to this NPI record is 14D0674369 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2012 and was last updated on 10/18/2016.


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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesYes

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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