Organization
ROSS MEDICAL SUPPLY COMPANY, INC.
Active
Parent organization
ROSS MEDICAL SUPPLY COMPANY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROSS MEDICAL SUPPLY COMPANY, INC.
Authorized official
MR. ROGER JOHANSON (PRESIDENT)
(309) 797-9099
Entity
Organization
Contact information
Practice address
1161 E KIMBERLY RD, DAVENPORT, IA 52807-1769
(563) 386-9220
(563) 386-0946
Mailing address
1161 E KIMBERLY RD, DAVENPORT, IA 52807-1769
(563) 386-9220
(563) 386-0946
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203.000088
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0951806
—
IA
05
—
332B00000X
—
IL
Enumeration date
03/11/2011
Last updated
03/11/2011
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