Organization
PRAIRIE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON S MANDLI (OWNER)
(217) 454-0479
Entity
Organization
Contact information
Practice address
120 LEWIS PARK DR, MT ZION, IL 62549-1202
(217) 864-0738
(217) 864-0743
Mailing address
120 LEWIS PARK PLAZA, MT ZION, IL 62549
(217) 864-0738
(217) 864-0743
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05827243
BCBS OF IL
IL
Enumeration date
03/14/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us