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SOUTHERN ILLINOIS SURGICAL APPLIANCE CO NPI 1538270871


NPI Information

NPI: 1538270871
Provider Name: SOUTHERN ILLINOIS SURGICAL APPLIANCE CO

Doing Business As: SISA HOME MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
20 VETERANS DR
HARRISBURG, IL
ZIP 62946
Phone: (618) 252-0554
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SOUTHERN ILLINOIS SURGICAL APPLIANCE CO is a durable medical equipment medical supplies in Harrisburg, 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. SOUTHERN ILLINOIS SURGICAL APPLIANCE CO NPI is 1538270871. 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:

20 VETERANS DR
HARRISBURG, IL
ZIP 62946-320
Phone: (618) 252-0554
Fax: (618) 252-2835

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
1332B00000XDurable Medical Equipment & Medical Supplies20321120ILLINOISYes
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies20321120ILLINOISX

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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