SISA HOME MEDICAL - NPI 1720199748 - Durable Medical Equipment & Medical Supplies in Carbondale, IL

Q: What is Southern Illinois Surgical Appliance Co.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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About Sisa Home Medical NPPES

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

SISA HOME MEDICAL (NPI 1720199748) is a healthcare organization registered as a durable medical equipment & medical supplies in Carbondale, Illinois and active in the NPI registry since August 2006. The organization lists Ralph Randolph Lewis, President, as its authorized official.

NPPES Registry Identity

NPI1720199748

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameSOUTHERN ILLINOIS SURGICAL APPLIANCE CO.

Location Address1301 W MAIN STCarbondale, IL 62901-2227

Mailing AddressPo Box 1667Mount Vernon, IL 62864-0033 · (618) 529-2406 · Fax (618) 351-7466

Phone(618) 529-2406

Fax(618) 351-7466

Organization SubpartYesParent: Southern Illiniois Surgical Appliance

Authorized OfficialRalph Randolph LewisPresident · (618) 932-3157

Enumeration DateAugust 31, 2006

Last NPPES UpdateOctober 25, 2010

✔ NPI 1720199748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in IL · 2032-1120

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's use in the home and that are usable for an extended period of time.

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X · License 2032-1120 (IL)

Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X · License 2032-1120 (IL)

1301 W MAIN ST, Carbondale, IL 62901

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Other Names 1

Doing Business AsSisa Home Medical

Other Identifiers 2

Medicare NSC0251010002IL

Medicaid=========003IL

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 Southern Illinois Surgical Appliance Co.'s NPI number?

The NPI number for Southern Illinois Surgical Appliance Co. is 1720199748. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Sisa Home Medical.

Where is Southern Illinois Surgical Appliance Co. located?

Southern Illinois Surgical Appliance Co. is located at 1301 W Main St, Carbondale, IL 62901. The listed phone number is (618) 529-2406.

What is Southern Illinois Surgical Appliance Co.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Southern Illinois Surgical Appliance Co. was last updated on October 25, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.