Midamerica Basement Systems

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIDAMERICA BASEMENT SYSTEMS

Practice address

13705 110TH Ave
Davenport, IA 52804-9034

Phone

(563) 381-1700

Fax

(563) 381-1900

NPI assigned

Oct 5, 2007

Last updated

Oct 5, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Howard John Tatge

Title

Owner

Phone

(563) 381-1700

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1124216023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13705 110TH AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528049034",
            "telephone_number": "563-381-1700",
            "fax_number": "563-381-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13705 110TH AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528049034",
            "telephone_number": "563-381-1700",
            "fax_number": "563-381-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDAMERICA BASEMENT SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "TATGE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-381-1700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Davenport, IA
• Providers in Davenport, IA by specialty
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.