Active NPI
Andsar Inc.
- Durable Medical Equipment & Medical Supplies
- Saint Charles, IL
National Provider Identifier
1104937168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ANDSAR INC.
- Practice address
- 1605 W Main St
Saint Charles, IL 60174-1657 - Phone
- (630) 584-0310
- Fax
- (630) 584-0354
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William G. Funk
- Title
- President
- Phone
- (630) 584-0310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1605 W Main St
Saint Charles, IL 60174-1657
Mailing address
1605 W Main St
Saint Charles, IL 60174-1657
Phone (630) 584-0310
Other names 1
- Grimm's Medical Supplies
National Provider Directory
National Provider DirectoryLocations
1605 W Main St
Ste B
St Charles, IL 60174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1104937168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 W MAIN ST",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601741657",
"telephone_number": "630-584-0310",
"fax_number": "630-584-0354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 W MAIN ST",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601741657",
"telephone_number": "630-584-0310",
"fax_number": "630-584-0354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDSAR INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "FUNK",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-584-0310",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grimm's Medical Supplies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.