Organization
MEDSOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC ROHDE (OWNER)
(309) 664-7930
Entity
Organization
Contact information
Practice address
650 N GIRLS SCHOOL RD STE C35, INDIANAPOLIS, IN 46214-3660
(317) 863-3760
(317) 863-3761
Mailing address
PO BOX 1248, BLOOMINGTON, IL 61702-1248
(309) 664-7930
(309) 664-7931
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203.000461
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
69000622A
IN
Enumeration date
11/06/2006
Last updated
01/15/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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