Provider Demographics
NPI:1528519329
Name:BIG MEADOWS INC
Entity type:Organization
Organization Name:BIG MEADOWS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GAPINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-778-3683
Mailing Address - Street 1:1000 LONGMOOR AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNA
Mailing Address - State:IL
Mailing Address - Zip Code:61074-1640
Mailing Address - Country:US
Mailing Address - Phone:815-273-2238
Mailing Address - Fax:815-273-7294
Practice Address - Street 1:1000 LONGMOOR AVE
Practice Address - Street 2:
Practice Address - City:SAVANNA
Practice Address - State:IL
Practice Address - Zip Code:61074-1640
Practice Address - Country:US
Practice Address - Phone:815-273-2238
Practice Address - Fax:815-273-7294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL000021394Medicaid