Independent Order of Odd Fellows

NPI #1063756799 in Mattoon, Illinois

Provider Information

NPI Number: 1063756799
Entity Type: Organization
Organization Name: Independent Order of Odd Fellows
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Nov 19, 2012
Last Updated: Jan 11, 2018

Practice Location

Address: 201 LAFAYETTE AVE E
City: Mattoon
State: Illinois
ZIP Code: 61938-4641
Phone: (217) 235-5449

Authorized Official

Name: DAVID UNDERWOOD, CPA
Title: EXEC VP, CFO
Phone: (309) 823-7135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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