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EAGLE DANCER INC
NPI 1700051711
Durable Medical Equipment & Medical Supplies - Customized Equipment in Bloomington, IN

Active since April 30, 2008
414 S COLLEGE AVE, BLOOMINGTON, IN 47403(812) 331-1962(812) 332-1949 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eagle Dancer Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLE DANCER INC (NPI 1700051711) is a healthcare organization registered as a customized equipment in Bloomington, Indiana and active in the NPI registry since April 2008. The organization lists Raymond Stidd, Provider, as its authorized official.

NPPES Registry Identity

NPI1700051711
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameEAGLE DANCER INC
Location Address414 S COLLEGE AVEBloomington, IN 47403-1513
Mailing Address414 S College AveBloomington, IN 47403-1513 · (812) 331-1962 · Fax (812) 332-1949
Phone(812) 331-1962
Fax(812) 332-1949
Organization SubpartNo
Authorized OfficialRaymond StiddProvider · (812) 330-0909
Enumeration DateApril 30, 2008
Last NPPES UpdateNovember 23, 2009
✔ NPI 1700051711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in IN · 280-B
414 S COLLEGE AVE, Bloomington, IN 47403
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Other Identifiers 1

Medicare NSC5410560001IN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagle Dancer Inc's NPI number?

The NPI number for Eagle Dancer Inc is 1700051711. It was assigned to this organization in the NPPES registry on April 30, 2008.

Where is Eagle Dancer Inc located?

Eagle Dancer Inc is located at 414 S College Ave, Bloomington, IN 47403. The listed phone number is (812) 331-1962.

What is Eagle Dancer Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Eagle Dancer Inc was last updated on November 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.