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Contact Information

AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC
116 E 11TH ST
SUITE 104
SPENCER, IA51301-4300
 Phone: 712-580-3923
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC

NPI # 1144534702
LBN Legal business name AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC
Authorized official SANDRA DIELEMAN - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2010
Last updated 10/31/2016 - About 10 years ago
Identifiers
IA License # 1-21-008187
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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