ST. CLARA'S MANOR NPI 1811231533

NPI Information

NPI: 1811231533
Provider Name: ST. CLARA'S MANOR
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

CLIA Number: 14D0895944

Address:
200 5TH ST
LINCOLN, IL
ZIP 62656
Phone: (217) 735-1507
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ST. CLARA'S MANOR is an oxygen equipment and supplies durable medical equipment medical supplies in Lincoln, IL. ST. CLARA'S MANOR NPI is 1811231533. The provider is registered as an organization entity type.

The provider's business location address is:

200 5TH ST
LINCOLN, IL
ZIP 62656-619
Phone: (217) 735-1507
Fax: (217) 732-3188

The provider's authorized official is David Underwood .
The authorized official title is Exec Vp, Cfo and has the following contact phone number (309) 823-7135.

The CLIA number assigned to this NPI record is 14D0895944 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2012 and was last updated on 10/18/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			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: 5/5/2024

NPI Synchronization or Removal

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