Provider Demographics
NPI:1366439507
Name:KCI USA, INC.
Entity Type:Organization
Organization Name:KCI USA, INC.
Other - Org Name:3M MEDICAL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CCO, VP, COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:A
Authorized Official - Last Name:KRAEMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-255-6092
Mailing Address - Street 1:6103 FARINON DR
Mailing Address - Street 2:ATTN HCC
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1765 S 900 W STE 88
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84104
Practice Address - Country:US
Practice Address - Phone:801-972-1564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KCI USA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-10-03
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100501855Medicaid
ID806415900Medicaid
WY118523300Medicaid
WY118523300Medicaid
UT0445090028Medicare NSC