Koffel Medical Supply Inc
LBN: Koffel Medical Supply Inc
Koffel Medical Supply Inc is an health care organization with primary practice located at 1003 W Park Ave , Libertyville IL 60048-2550. The organization recently has only one registered license in Suppliers / Dialysis Equipment & Supplies, which is considered as the primary health care specialty.
Koffel Medical Supply Inc can be contacted via phone (847) 816-8000, or through Koffel, John W via phone (847) 816-8000.
Contact Information
Primary practice address
1003 W Park Ave
Libertyville IL 60048-2550
Phone: (847) 816-8000
Fax: (847) 816-8606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Dialysis Equipment & Supplies | 332BD1200X | Illinois |
Profile Details
| NPI number | 1821088964 |
|---|---|
| LBN Legal business name | Koffel Medical Supply Inc |
| DBA Doing business as | |
| Authorized official | Koffel, John W |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821088964 | NPPES |
| North Dakota | MEDICAID | 59379 | |
| North Dakota | MEDICAID | 0701390 | |
| North Dakota | MEDICAID | 90002692 | |
| North Dakota | MEDICAID | 0440301 | |
| North Dakota | MEDICAID | 0944694 | |
| North Dakota | MEDICAID | 0877243 | |
| North Dakota | MEDICAID | 4581798 | |
| North Dakota | MEDICAID | 00673978X | |
| North Dakota | MEDICAID | 3742601 | |
| North Dakota | MEDICAID | 1531235 |
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