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Organization
AMERICOAST SPRINGFIELD LLC
Active
Organization
AMERICOAST SPRINGFIELD LLC
Active
Parent organization
AMERICOAST HOLDINGS
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICOAST HOLDINGS
Authorized official
JENNIFER KUCZEWSKI (VICE PRESIDENT)
(716) 568-2236
Entity
Organization
Contact information
Practice address
3351 S 6TH STREET RD STE 8, SPRINGFIELD, IL 62703-4785
(217) 679-2465
Mailing address
60 NORTHPOINTE PKWY, AMHERST, NY 14228-1883
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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