Koffel Medical Supply Inc

LBN: Koffel Medical Supply Inc
Koffel Medical Supply Inc is an health care organization with primary practice located at 1003 W Park Ave , Libertyville IL 60048-2550. The organization recently has only one registered license in Suppliers / Dialysis Equipment & Supplies, which is considered as the primary health care specialty. Koffel Medical Supply Inc can be contacted via phone (847) 816-8000, or through Koffel, John W via phone (847) 816-8000.

Contact Information

Primary practice address
1003 W Park Ave Libertyville IL 60048-2550
Phone: (847) 816-8000
Fax: (847) 816-8606
Website:
Map and Directions
Authorized official contact:
Name: Koffel, John W
Phone: (847) 816-8000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Dialysis Equipment & Supplies 332BD1200X Illinois

Profile Details

NPI number 1821088964
LBN Legal business name Koffel Medical Supply Inc
DBA Doing business as
Authorized official Koffel, John W
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821088964 NPPES
North Dakota MEDICAID 59379
North Dakota MEDICAID 0701390
North Dakota MEDICAID 90002692
North Dakota MEDICAID 0440301
North Dakota MEDICAID 0944694
North Dakota MEDICAID 0877243
North Dakota MEDICAID 4581798
North Dakota MEDICAID 00673978X
North Dakota MEDICAID 3742601
North Dakota MEDICAID 1531235

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