Organization
PRIMESOURCE HEALTHCARE SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID FLEMING (PRESIDENT & CEO)
(847) 580-5928
Entity
Organization
Contact information
Practice address
4449 EASTON WAY, SECOND FLOOR, COLUMBUS, OH 43219-6093
(800) 317-0711
(847) 267-9440
Mailing address
775 WAUKEGAN RD, SUITE 200, DEERFIELD, IL 60015-4342
(847) 580-5928
(847) 267-9440
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0579450001
DMERC GROUP NUMBER
—
Enumeration date
05/04/2007
Last updated
08/22/2020
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