Organization
RUTLEDGE JOINT VENTURES, LLC
Active
Other names
Heritage Health
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID UNDERWOOD CPA (EXEC VP, CFO)
(309) 823-7135
Entity
Organization
Contact information
Practice address
900 N RUTLEDGE ST, SPRINGFIELD, IL 62702-3721
(217) 789-0930
(217) 789-6465
Mailing address
115 W JEFFERSON ST, SUITE 401, BLOOMINGTON, IL 61701-3946
(309) 828-4361
(309) 829-5477
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
10/18/2016
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