Russell Kornegor Medical Equipment LTD
Organization Active NPI Durable Medical Equipment & Medical Supplies · Coldwater, OH
NPI 1114140761 · NPPES record last updated Nov 16, 2007
Key facts
- NPI
- 1114140761
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- RUSSELL KORNEGOR MEDICAL EQUIPMENT LTD
- Practice address
- 703 N 2ND St
Coldwater, OH 45828-9780 - Phone
- (419) 678-2168
- Fax
- (419) 678-8893
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Russell Dean Kornegor
- Title
- Owner
- Phone
- (419) 678-2168
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
703 N 2ND St
Coldwater, OH 45828-9780
Mailing address
703 N 2ND St
Coldwater, OH 45828-9780
Phone (419) 678-2168
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2324701 | Medicaid | OH |
Other providers in Coldwater, OH
- Performance Physical Therapy & Wellness LLC
- Brooke Prenger
- Laura Prenger
- Rehabilitative Services Inc.
- Renew Counseling and Consultation LLC
- Tiffany Rutschilling
- Ryan Edward Scaife
- Jama Scheidt
- Victoria Elizabeth Schmitt
- Kate Schulze
All providers in Coldwater, OH · Durable Medical Equipment & Medical Supplies in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.