Healthcare Provider Details

I. General information

NPI: 1770095440
Provider Name (Legal Business Name): CIRRUS MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2017
Last Update Date: 11/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 S 13TH ST STE 775
LINCOLN NE
68508-2040
US

IV. Provider business mailing address

206 S 13TH ST STE 775
LINCOLN NE
68508-2040
US

V. Phone/Fax

Practice location:
  • Phone: 402-506-9676
  • Fax: 855-506-6189
Mailing address:
  • Phone: 402-506-9676
  • Fax: 855-506-6189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CURTIS BRYAN CARLSON
Title or Position: CEO
Credential:
Phone: 402-416-5015