Organization Name: | AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC |
NPI Number: | 1144534702 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE N NORTON (CFO) |
Mailing Address: | 716 South Grand Avenue Spencer |
State: | IA US |
Postal Code: | 513019998 |
Phone Number: | 7125803923 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2010 |
NPI Last Update Date: | 06/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1-21-008187 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |