SOUTHERN ILLINOIS SURGICAL APPLIANCE COMPANY (NPI# 1306022322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306022322 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ILLINOIS SURGICAL APPLIANCE COMPANY |
| Practice Address |
8305 Express Dr. C Marion IL 62959-6359 |
| Mailing Address |
8305 Express Dr. -c Marion IL 62959-6359 |
| Practice Telephone | 6189698010 |
| Practice Fax Number | 6189698014 |
| Mailing Telephone | 6189698010 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2009-07-22 |
| Authorized Official Name | MR. RALPH RANDOLPH LEWIS (PRESIDENT/OWNER) |
| Authorized Official Telephone | 8006420501 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHERN ILLINOIS APPLIANCE COMPANY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Street Address |
8305 EXPRESS DR. C |
| City | MARION |
| State | IL |
| Zip Code | 62959-6359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356745251 | Medex, Inc. | Durable Medical Equipment & Medical Supplies | 1307 W Johnson St, Marion, IN 46952-2549 | 2014-10-21 |
| 1275956336 | Homereach | Durable Medical Equipment & Medical Supplies | 1713 Marion-mt. Gilead Road, Marion, OH 43302-7842 | 2014-01-27 |
| 1285875732 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 1397 N Baldwin Ave, Marion, IN 46952-1913 | 2009-03-13 |
| 1134367345 | Duramed Equipment LLC | Durable Medical Equipment & Medical Supplies | 2024 Nix Creek Rd, Ste B, Marion, NC 28752 | 2009-01-26 |
| 1881700441 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 1912 W Rendelman St, Marion, IL 62959-1001 | 2006-08-23 |
| 1558347914 | Hls Pharmacies Inc. | Durable Medical Equipment & Medical Supplies | 1000 N Carbon St Ste S-t, Marion, IL 62959-1057 | 2005-12-19 |
| 1306290697 | Legacy Oxygen and Home Care Equipment LLC | Durable Medical Equipment & Medical Supplies | 707 S Main St, Marion, KY 42064-1807 | 2016-04-22 |
| 1598895518 | Ellis Home Oxygen and Medical Equipment | Durable Medical Equipment & Medical Supplies | 925 N Main St, Marion, VA 24354-4117 | 2007-03-07 |
| 1417068412 | Thrifty Pharmacy | Durable Medical Equipment & Medical Supplies | 210 S Main St, Marion, KY 42064-1543 | 2006-08-31 |
| 1376597799 | Fox Med-equip Services, Inc | Durable Medical Equipment & Medical Supplies | 1400 W Main St, Marion, IL 62959-1142 | 2006-05-20 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.