MID-CENTRAL MEDICAL INC NPI 1891744215

NPI Information

NPI: 1891744215
Provider Name: MID-CENTRAL MEDICAL INC

Doing Business As: AMERICAN MEDICAL SUPPLY AND SERVICE CO.

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
281 E JACKSON ST
VIRDEN, IL
ZIP 62690
Phone: (217) 965-3734
Get Directions

MID-CENTRAL MEDICAL INC is a durable medical equipment medical supplies in Virden, 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. MID-CENTRAL MEDICAL INC NPI is 1891744215. The provider is registered as an organization entity type.
The provider Is Doing Business As American Medical Supply And Service Co..

The provider's business location address is:

281 E JACKSON ST
VIRDEN, IL
ZIP 62690-451
Phone: (217) 965-3734
Fax: (217) 965-3371

The provider's authorized official is Karen Marie Burtle .
The authorized official title is President and has the following contact phone number (217) 965-3734.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 4/25/2012.

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	332B00000X	Durable Medical Equipment & Medical Supplies		203.000130	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1696366	MEDICAID	LOUISIANA
2	626170807	MEDICAID	MISSOURI
3	90212333	MEDICAID	KENTUCKY
4	1141990001	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	PROVIDER
5	200334860A	MEDICAID	KANSAS
6	=========001	MEDICAID	ILLINOIS
7	4581903	MEDICAID	TENNESSEE

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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