Organization
JOINT ACTIVE SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MORRIS (INSURANCE CONTRACTS MANAGER)
(217) 342-3412
Entity
Organization
Contact information
Practice address
2600 S RANEY ST, EFFINGHAM, IL 62401-4219
(217) 342-3412
(217) 347-3384
Mailing address
2600 S RANEY ST, EFFINGHAM, IL 62401-4219
(217) 342-3412
(217) 347-3384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
203000238
IL
332BC3200X
Customized Equipment (DME)
Primary
203000238
IL
335E00000X
Prosthetic/Orthotic Supplier
203000238
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2571346
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
05/27/2005
Last updated
10/09/2025
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