Southern Illinois Surgical Appliance Co
Southern Illinois Surgical Appliance Co is a Durable Medical Equipment & Medical Supplies in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
1301 W Main StCarbondale, IL 62901-2227
Phone: (618) 529-2406
Fax: (618) 351-7466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 2032-1120 (IL) |
|---|---|
| Customized Equipment (DME) | Taxonomy 332BC3200X · Licence 2032-1120 (IL) |
| Oxygen Equipment & Supplies (DME) | Taxonomy 332BX2000X · Licence 2032-1120 (IL) |
Record details
| NPI number | 1720199748 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Southern Illiniois Surgical Appliance |
| Authorized official | Ralph Lewis — President · (618) 932-3157 |
| Other names | Sisa Home Medical |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | October 25, 2010 |
| Mailing address | Po Box 1667, Mount Vernon, IL 62864-0033 |
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