Provider Demographics
NPI:1770095440
Name:CIRRUS MEDICAL LLC
Entity type:Organization
Organization Name:CIRRUS MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:BRYAN
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-416-5015
Mailing Address - Street 1:206 S 13TH ST STE 775
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-2040
Mailing Address - Country:US
Mailing Address - Phone:402-506-9676
Mailing Address - Fax:855-506-6189
Practice Address - Street 1:206 S 13TH ST STE 775
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2040
Practice Address - Country:US
Practice Address - Phone:402-506-9676
Practice Address - Fax:855-506-6189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies