Provider Demographics
NPI:1003968553
Name:DENMAN SERVICES, INC.
Entity Type:Organization
Organization Name:DENMAN SERVICES, INC.
Other - Org Name:DENMAN MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT - FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-223-3197
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62306-0040
Mailing Address - Country:US
Mailing Address - Phone:217-223-3197
Mailing Address - Fax:217-223-3305
Practice Address - Street 1:1020 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-2835
Practice Address - Country:US
Practice Address - Phone:217-224-9164
Practice Address - Fax:217-224-9230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
115225OtherBLUE CROSS BLUE SHIELD
9323OtherHEALTH ALLIANCE
511485OtherHEALTHLINK
9323OtherHEALTH ALLIANCE
IL=========001Medicaid