Childserve Medical Equipment & Supply Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Johnston, IA

NPI 1043351844 · NPPES record last updated Jul 10, 2007

Key facts

NPI
1043351844
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
CHILDSERVE MEDICAL EQUIPMENT & SUPPLY INC.
Practice address
5406 Merle Hay Rd
Johnston, IA 50131-1209
Phone
(515) 727-8750
Fax
(515) 727-8757
NPI assigned
Feb 12, 2007
Organization subpart
Yes
Parent organization (as reported)
CHILDSERVE INC.

Authorized official

Name
Rodney Wildrick
Title
Director of Accountin
Phone
(515) 727-1468

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Childserve (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

5406 Merle Hay Rd
Johnston, IA 50131-1209

Mailing address

PO Box 707
Johnston, IA 50131-0707
Phone (515) 727-8750

Other identifiers

IdentifierTypeStateIssuer
0245696MedicaidIA

Other providers in Johnston, IA

All providers in Johnston, IA · Durable Medical Equipment & Medical Supplies in Iowa

Sources for this page

Verify at the official NPI Registry.