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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
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