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PROFESSIONALS PRN LLC NPI 1780622258


NPI Information

NPI: 1780622258
Provider Name: PROFESSIONALS PRN LLC

Doing Business As: NORTHSIDE OXYGEN & MEDICAL EQUIPEMENT CAMBRIDGE

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

CLIA Number: 36D2184427

Address:
61353 SOUTHGATE RD
SUITE 2
CAMBRIDGE, OH
ZIP 43725
Phone: (740) 435-9393
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PROFESSIONALS PRN LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Cambridge, OH. PROFESSIONALS PRN LLC NPI is 1780622258. The provider is registered as an organization entity type.
The provider Is Doing Business As Northside Oxygen & Medical Equipement Cambridge.

The provider's business location address is:

61353 SOUTHGATE RD
SUITE 2
CAMBRIDGE, OH
ZIP 43725-607
Phone: (740) 435-9393
Fax: (740) 435-0899

The provider's authorized official is Edward Jay Stoepfel .
The authorized official title is Director and has the following contact phone number (740) 454-5666.

The CLIA number assigned to this NPI record is 36D2184427 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 4/25/2021.


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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies021364250OHIOYes

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
12380767MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.