Organization
AMERICOAST SPRINGFIELD LLC
Active
Parent organization
AMERICOAST HOLDINGS
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICOAST HOLDINGS
Authorized official
JENNIFER KUCZEWSKI (VICE PRESIDENT)
(716) 568-2236
Entity
Organization
Contact information
Practice address
3351 S 6TH STREET RD STE 8, SPRINGFIELD, IL 62703-4785
(217) 679-2465
Mailing address
60 NORTHPOINTE PKWY, AMHERST, NY 14228-1883
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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