Organization
VERMILLION INC
Active
Other names
Fittings Unlimited
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA M BREAM (OWNER)
(515) 727-1406
Entity
Organization
Contact information
Practice address
2795 100TH STREET, URBANDALE, IA 50322
(515) 727-1406
(515) 727-1409
Mailing address
2795 100TH STREET, URBANDALE, IA 50322
(515) 727-1406
(515) 727-1409
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0417741
—
IA
01
—
49821
BCBS OF IA
IA
Enumeration date
02/06/2006
Last updated
04/13/2018
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