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ORTHOPEDIC REHABILITATION SUPPLY LLC NPI 1881193274


NPI Information

NPI: 1881193274
Provider Name: ORTHOPEDIC REHABILITATION SUPPLY LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
13 NORBLOOM AVE
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 310-8648
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ORTHOPEDIC REHABILITATION SUPPLY LLC is a durable medical equipment medical supplies in Bloomington, 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. ORTHOPEDIC REHABILITATION SUPPLY LLC NPI is 1881193274. The provider is registered as an organization entity type.

The provider's business location address is:

13 NORBLOOM AVE
BLOOMINGTON, IL
ZIP 61701-949
Phone: (309) 310-8648

The provider's authorized official is Mark Hanson .
The authorized official title is Owner and has the following contact phone number (309) 310-8648.

The enumeration date for this NPI number is 2/12/2018 and was last updated on 2/12/2018.


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 SuppliesLC1242724MISSOURIYes

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

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