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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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