Healthcare Provider Details

I. General information

NPI: 1316655764
Provider Name (Legal Business Name): CORR MEDICAL SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 11/14/2022
Certification Date: 11/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 DENROCK AVE
DALHART TX
79022
US

IV. Provider business mailing address

4940 S 114TH ST STE 3
OMAHA NE
68137-2377
US

V. Phone/Fax

Practice location:
  • Phone: 806-244-2677
  • Fax:
Mailing address:
  • Phone: 402-597-3677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: DAN PATRICK CORRIGAN
Title or Position: PRESIDENT
Credential:
Phone: 402-597-3677