SOUTHERN ILLINOIS SURGICAL APPLIANCE CO NPI 1194836346

NPI Information

NPI: 1194836346
Provider Name: SOUTHERN ILLINOIS SURGICAL APPLIANCE CO

Doing Business As: SISA HOME MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
555 S BELT W
BELLEVILLE, IL
ZIP 62220
Phone: (618) 234-7342
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SOUTHERN ILLINOIS SURGICAL APPLIANCE CO is a customized equipment durable medical equipment medical supplies in Belleville, IL. SOUTHERN ILLINOIS SURGICAL APPLIANCE CO NPI is 1194836346. The provider is registered as an organization entity type.
The provider Is Doing Business As Sisa Home Medical.

The provider's business location address is:

555 S BELT W
BELLEVILLE, IL
ZIP 62220-485
Phone: (618) 234-7342
Fax: (618) 234-7332

The provider's authorized official is Robert R Lewis .
The authorized official title is President and has the following contact phone number (618) 932-3157.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.

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
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	20321120	ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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