Organization
CENTRAD HEALTHCARE LLC
Active
Organization
CENTRAD HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIDGETT ANN CALLAGHAN (VP, REIMBURSEMENT)
(630) 369-5840
Entity
Organization
Contact information
Practice address
2712 7TH AVE S, BIRMINGHAM, AL 35233-3406
(205) 380-3113
(205) 380-3116
Mailing address
184 SHUMAN BLVD, SUITE 130, NAPERVILLE, IL 60563-1219
(630) 369-5840
(630) 369-5436
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
613
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009959640
—
AL
05
—
009974810
—
AL
Enumeration date
12/04/2006
Last updated
04/07/2009
Update your record
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