THE ELEPHANT'S ATTIC, INC.


Address: 1127 N 5th St, Vandalia, IL 62471-1203
Phone: 6182839127

THE ELEPHANT'S ATTIC, INC. (NPI# 1194904763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194904763
Entity Type Organization
Organization Name THE ELEPHANT'S ATTIC, INC.
Practice Address 1127 N 5th St
Vandalia
IL 62471-1203
Practice Telephone 6182839127
Practice Fax Number 6182839127
Mailing Telephone 6182839127
Mailing Fax Number 6182839127
Enumeration Date 2007-10-30
Last Update Date 2007-10-30
Authorized Official Name JOYCE L STEIN (OWNER)
Authorized Official Telephone 6182839127
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
23966531 IL Suppliers

Office Location

Street Address 1127 N 5TH ST
City VANDALIA
State IL
Zip Code 62471-1203

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1083924740 Micah Brasel Optometrist 300 W Randolph, Vandalia, IL 62471 2010-10-15
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1952429078 Julie M Gordon Physical Therapist 126 S. First Street, Vandalia, IL 62471 2007-03-27
1033200183 Penny Attaway Nurse Practitioner 1404 N 5th Street, Vandalia, IL 62471 2006-09-27
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1548221799 Arkom Chulamorkodt Family Medicine 606 W Jackson St, Vandalia, IL 62471 2006-03-29
1568581163 Ashley Hadowsky Physical Therapist 126 S. First Street, Vandalia, IL 62471 2007-03-28
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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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Competitor

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City VANDALIA
Zip Code 62471

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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