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ST CLAIR ORTHOPEDICS SC NPI 1639356082


NPI Information

NPI: 1639356082
Provider Name: ST CLAIR ORTHOPEDICS, SC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
33 BRONZE POINTE N
SUITE 100
SWANSEA, IL
ZIP 62226
Phone: (618) 257-1177
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ST CLAIR ORTHOPEDICS, SC is a durable medical equipment medical supplies in Swansea, 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. ST CLAIR ORTHOPEDICS, SC NPI is 1639356082. The provider is registered as an organization entity type.

The provider's business location address is:

33 BRONZE POINTE N
SUITE 100
SWANSEA, IL
ZIP 62226-311
Phone: (618) 257-1177
Fax: (618) 257-1184

The provider's authorized official is Chad Sackman .
The authorized official title is Administrator and has the following contact phone number (314) 849-0311.

The enumeration date for this NPI number is 1/29/2008 and was last updated on 2/17/2011.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
10990360007MEDICARE NSCILLINOIS

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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