PRAIRIE MEDICAL SUPPLY INC
NPI 1790754711
Durable Medical Equipment & Medical Supplies in Mt Zion, IL

Q: What is Prairie Medical Supply Inc's NPI number?

The NPI number for Prairie Medical Supply Inc is 1790754711. It was assigned to this organization in the NPPES registry on March 14, 2006.

Q: What is Prairie Medical Supply Inc's specialty?

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

Active since March 14, 2006

120 LEWIS PARK DR, MT ZION, IL 62549(217) 864-0738(217) 864-0743 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Prairie Medical Supply Inc NPPES

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

PRAIRIE MEDICAL SUPPLY INC (NPI 1790754711) is a healthcare organization registered as a durable medical equipment & medical supplies in Mt Zion, Illinois and active in the NPI registry since March 2006. The organization lists Sharon S Mandli, Owner, as its authorized official.

NPPES Registry Identity

NPI1790754711

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NamePRAIRIE MEDICAL SUPPLY INC

Location Address120 LEWIS PARK DRMt Zion, IL 62549-1202

Mailing Address120 Lewis Park PlazaMt Zion, IL 62549 · (217) 864-0738 · Fax (217) 864-0743

Phone(217) 864-0738

Fax(217) 864-0743

Organization SubpartNo

Authorized OfficialSharon S MandliOwner · (217) 454-0479

Enumeration DateMarch 14, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1790754711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

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.

120 LEWIS PARK DR, Mt Zion, IL 62549

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Other Identifiers 1

Other05827243IL · Bcbs Of Il

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 Prairie Medical Supply Inc's NPI number?

The NPI number for Prairie Medical Supply Inc is 1790754711. It was assigned to this organization in the NPPES registry on March 14, 2006.

Where is Prairie Medical Supply Inc located?

Prairie Medical Supply Inc is located at 120 Lewis Park Dr, Mt Zion, IL 62549. The listed phone number is (217) 864-0738.

What is Prairie Medical Supply Inc'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 Prairie Medical Supply Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.