National Wound Care Llc

LBN: National Wound Care Llc
National Wound Care Llc is an health care organization with primary practice located at 4112B Fieldstone Rd , Champaign IL 61822-8810. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. National Wound Care Llc can be contacted via phone (217) 355-2680, or through Prince, Johnny Lee via phone (217) 355-2680.

Contact Information

Primary practice address
4112B Fieldstone Rd Champaign IL 61822-8810
Phone: (217) 355-2680
Fax: (217) 355-5538
Website:
Map and Directions
Authorized official contact:
Name: Prince, Johnny Lee
Phone: (217) 355-2680

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1922012608
LBN Legal business name National Wound Care Llc
DBA Doing business as
Authorized official Prince, Johnny Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Oct 4th, 2017 - about 7 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 1922012608 NPPES
Florida MEDICAID 28251100
Florida Other 371386148001
Florida Other 1119627
Florida MEDICAID 2208828
Florida Other 1029939
Florida MEDICAID 200397280A
Florida Other 90001322
Florida Other R9560
Florida Other 371386148
Florida MEDICAID 4582222

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