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 |
| NPI # | 1144534702 |
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| 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 |
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