Provider Demographics
NPI:1386957983
Name:CORR MEDICAL SOLUTIONS INC.
Entity type:Organization
Organization Name:CORR MEDICAL SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CORRIGAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:402-960-3872
Mailing Address - Street 1:4940 SOUTH 114TH STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-2377
Mailing Address - Country:US
Mailing Address - Phone:402-597-3677
Mailing Address - Fax:
Practice Address - Street 1:4940 SOUTH 114TH STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137
Practice Address - Country:US
Practice Address - Phone:402-597-3677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-23
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier