Prairie Medical Supply Inc

LBN: Prairie Medical Supply Inc
Prairie Medical Supply Inc is an health care organization with primary practice located at 120 Lewis Park Dr , Mt Zion IL 62549-1202. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Prairie Medical Supply Inc can be contacted via phone (217) 864-0738, or through Mandli, Sharon S via phone (217) 454-0479.

Contact Information

Primary practice address
120 Lewis Park Dr Mt Zion IL 62549-1202
Phone: (217) 864-0738
Fax: (217) 864-0743
Website:
Map and Directions
Authorized official contact:
Name: Mandli, Sharon S
Phone: (217) 454-0479

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Illinois

Profile Details

NPI number 1790754711
LBN Legal business name Prairie Medical Supply Inc
DBA Doing business as
Authorized official Mandli, Sharon S
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790754711 NPPES
Illinois Other 05827243 BCBS OF IL

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