NPIMap

Organization Active NPI

Archway, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Carbondale, IL
National Provider Identifier
1669696399
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ARCHWAY, INC.
Practice address
2751 W Main St
Carbondale, IL 62901-1000
Phone
(618) 529-5944
Fax
(618) 529-5785
NPI assigned
Apr 12, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Deanna Cruse
Title
Executive Director
Phone
(618) 529-5944

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Archway Inc (3 organizations share this tax ID)

Locations

1108 W Willow St
Carbondale, IL 62901
Phone (618) 549-4442

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2751 W Main St
Carbondale, IL 62901-1000

Mailing address

PO Box 1180
Carbondale, IL 62903-1180
Phone (618) 529-5944

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 21, 2025.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1669696399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1180",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629031180",
            "telephone_number": "618-529-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 W MAIN ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011000",
            "telephone_number": "618-529-5944",
            "fax_number": "618-529-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHWAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "CRUSE",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-529-5944"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.