NPI 1063654937

Lewis Memorial Christian Village

Organisation Oxygen Equipment & Supplies (DME) Springfield, IL

Practice location

Address: 3400 W Washington St, Springfield, IL 62711-7917
Phone: (217) 793-4062
Fax: (217) 787-9601

Authorised official

Name: Susan McGhee
Title: Chief Financial Officer
Phone: (314) 587-7903

Registered specialties

Oxygen Equipment & Supplies (DME) Primary

Suppliers Taxonomy 332BX2000X Licence 0021436 (IL)

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Registry record

NPI: 1063654937
Entity type: Organization
NPI issued: 24 Mar 2009
Record last updated: 11 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.