Organization · Type 2 NPI

Southern Illinois Surgical Appliance Co.

Durable Medical Equipment & Medical Supplies · Carbondale, IL

NPI number 1720199748 Active

Practice location

1301 W Main St
Carbondale, IL 62901-2227

Call (618) 529-2406 Map

Fax (618) 351-7466

Mailing address

PO Box 1667
Mount Vernon, IL 62864-0033

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	2032-1120 (IL)
Customized Equipment (DME)	332BC3200X	2032-1120 (IL)
Oxygen Equipment & Supplies (DME)	332BX2000X	2032-1120 (IL)

Durable Medical Equipment & Medical Supplies: 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.

Other durable medical equipment & medical supplies providers in Carbondale

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NPI record

NPI: 1720199748
Entity type: Organization (Type 2)
Issued: Aug 31, 2006
Last updated: Oct 25, 2010
Status: Active
Subpart: Yes of Southern Illiniois Surgical Appliance

Other names

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Sisa Home Medical · doing business as

Authorized official

Mr. Ralph Randolph Lewis
President
(618) 932-3157

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720199748

Southern Illinois Surgical Appliance Co.'s National Provider Identifier is 1720199748, issued on Aug 31, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Carbondale, IL. The record was last updated on Oct 25, 2010.