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Contact Information

MEDCENTRIX INC
5841 S MARYLAND AVE
CHICAGO, IL60637-1443
 Phone: 773-834-5601
 Fax: 773-702-6631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for MEDCENTRIX INC

NPI Number 1275101164
LBN Legal business name MEDCENTRIX INC
Authorized official RANDY NEISWONGER - (INTERIM PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2021
Last updated 06/16/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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