Organization
HECKMAN HEALTHCARE SERVICES & SUPPLIES, INC.
Active
Other names
Quipt Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J CRAWFORD (CEO)
(859) 441-8876
Entity
Organization
Contact information
Practice address
1969 N MAIN ST, DECATUR, IL 62526-4333
(217) 428-1306
(217) 428-2732
Mailing address
1019 TOWN DR, HIGHLAND HEIGHTS, KY 41076-9114
(859) 441-8876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
203-000058
IL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
20-000058
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323266703001
—
IL
Enumeration date
10/17/2005
Last updated
08/01/2024
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