Provider Demographics
NPI:1609637487
Name:STRATEGIC DME LLC
Entity Type:Organization
Organization Name:STRATEGIC DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SALSBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:641-203-9072
Mailing Address - Street 1:100 E JEFFERSON ST STE A
Mailing Address - Street 2:
Mailing Address - City:CORYDON
Mailing Address - State:IA
Mailing Address - Zip Code:50060-1542
Mailing Address - Country:US
Mailing Address - Phone:641-203-9072
Mailing Address - Fax:
Practice Address - Street 1:100 E JEFFERSON ST STE A
Practice Address - Street 2:
Practice Address - City:CORYDON
Practice Address - State:IA
Practice Address - Zip Code:50060-1542
Practice Address - Country:US
Practice Address - Phone:641-203-9072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty