Professional Medical & Surgical Supply, Inc

LBN: Professional Medical & Surgical Supply, Inc
Professional Medical & Surgical Supply, Inc is an health care organization with primary practice located at 1917 Garnet Ct , New Lenox IL 60451-1593. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Professional Medical & Surgical Supply, Inc can be contacted via phone (800) 648-5190, or through Ferry, Alan C via phone (815) 726-6279.

Contact Information

Primary practice address
1917 Garnet Ct New Lenox IL 60451-1593
Phone: (800) 648-5190
Fax: (866) 656-6332
Website:
Map and Directions
Authorized official contact:
Name: Ferry, Alan C
Phone: (815) 726-6279

Health care specialties

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

Profile Details

NPI number 1235212556
LBN Legal business name Professional Medical & Surgical Supply, Inc
DBA Doing business as
Authorized official Ferry, Alan C
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Mar 9th, 2016 - about 8 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 1235212556 NPPES
Ohio MEDICAID 3143388
Ohio MEDICAID 41742200
Ohio Other 5306003914
Ohio Other 69000595A
Ohio MEDICAID NPI FOR MHCP
Ohio MEDICAID 102562380
Ohio MEDICAID 146633158A
Ohio Other F01075656
Ohio Other 1043
Ohio Other 16-00483
Ohio MEDICAID 200714550A
Ohio Other 203.001039
Ohio Other 203.001039
Ohio Other 69000595A
Ohio MEDICAID 100259906-00
Ohio Other 1347042
Ohio Other 6000007643
Ohio MEDICAID 7100081800
Ohio MEDICAID 1235212556
Ohio MEDICAID 1235212556
Ohio MEDICAID 013081177
Ohio MEDICAID 03333653
Ohio Other 08574/11.1
Ohio MEDICAID 1235212556 FOR MO
Ohio Other HME00240
Ohio Other HME22862
Ohio Other 104409276
Ohio MEDICAID 200819870A
Ohio Other 3XXXX3409 FOR NY
Ohio MEDICAID ME-0156417
Ohio MEDICAID NPI
Ohio MEDICAID 1235212556 FOR UT
Ohio Other MG01323

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