Bwdc Medical Equipment Co.
Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies in Centralia, IL. Organization (NPI-2).
NPI number1629068341
StatusActive
Last updated in NPPESMay 21, 2012
Details
- NPI
- 1629068341
- Entity type
- Organization (NPI-2)
- Legal business name
- Bwdc Medical Equipment Co.
- Organization subpart
- No
- Enumeration date
- Oct 25, 2005
- Last updated
- May 21, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 203000105 | IL | Yes |
Other names
- Byrd Watson Medical Equip Co (Doing Business As)
Practice location
123 N Locust StCentralia, IL 62801-5303
Phone 618-532-3045 · Fax 618-533-0572
Mailing address
123 N Locust StPo Box 1747
Centralia, IL 62801-3242
Phone 618-532-3045 · Fax 618-533-0572
Authorized official
Wesley N Breeze
Owner Pres
6185323045
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