Organization Name: | AQUILA CORPORATION |
NPI Number: | 1598825283 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN P KOHLMAN (PRESIDENT) |
Mailing Address: | 3827 Creekside Ln Holmen |
State: | WI US |
Postal Code: | 546369466 |
Phone Number: | 6087820031 |
Fax Number: | 6087820488 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 06/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 004000233253001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |