Burnsides Community Health Center, Nfp

NPI #1528415171 in Marshall, Illinois

Provider Information

NPI Number: 1528415171
Entity Type: Organization
Organization Name: Burnsides Community Health Center, Nfp
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: May 24, 2016
Last Updated: May 24, 2016

Practice Location

Address: 410 N 2ND ST
City: Marshall
State: Illinois
ZIP Code: 62441-1010
Phone: (217) 826-2358

Authorized Official

Name: DAVID UNDERWOOD
Title: OPERATIONS COORDINATOR
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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