Southern Illinois Surgical Appliance Company

NPI #1306022322 in Marion, Illinois

Provider Information

NPI Number: 1306022322
Entity Type: Organization
Organization Name: Southern Illinois Surgical Appliance Company
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHERN ILLINOIS APPLIANCE COMPANY
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Jan 22, 2008
Last Updated: Jul 22, 2009

Practice Location

Address: 8305 EXPRESS DR. C
City: Marion
State: Illinois
ZIP Code: 62959-6359
Phone: (618) 969-8010

Authorized Official

Name: MR. RALPH RANDOLPH LEWIS
Title: PRESIDENT/OWNER
Phone: (800) 642-0501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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