Avera Home Medical Equipment of Spencer Hospital LLC

NPI #1144534702 in Spencer, Iowa

Provider Information

NPI Number: 1144534702
Entity Type: Organization
Organization Name: Avera Home Medical Equipment of Spencer Hospital LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Aug 5, 2010
Last Updated: Oct 31, 2016

Practice Location

Address: 116 E 11TH ST
Address 2: SUITE 104
City: Spencer
State: Iowa
ZIP Code: 51301-4300
Phone: (712) 580-3923

Authorized Official

Name: SANDRA D DIELEMAN
Title: PRESIDENT/CEO
Phone: (605) 322-1872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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