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AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC NPI 1144534702


NPI Information

NPI: 1144534702
Provider Name: AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
116 E 11TH ST
SUITE 104
SPENCER, IA
ZIP 51301
Phone: (712) 580-3923
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AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Spencer, IA. AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC NPI is 1144534702. The provider is registered as an organization entity type.

The provider's business location address is:

116 E 11TH ST
SUITE 104
SPENCER, IA
ZIP 51301-300
Phone: (712) 580-3923

The provider's authorized official is Sandra D Dieleman .
The authorized official title is President/ceo and has the following contact phone number (605) 322-1872.

The enumeration date for this NPI number is 8/5/2010 and was last updated on 10/31/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies1-21-008187IOWANo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition1-21-008187IOWANo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies1-21-008187IOWAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16453370001MEDICARE NSC

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: 4/28/2024

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