Mid America Fiberglass, Inc.

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

MID AMERICA FIBERGLASS, INC.

Practice address

9298 N 1128 W
Monticello, IN 47960-8171

Phone

(574) 808-4143

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert W Hewitt

Title

Owner

Phone

(574) 808-4143

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1205051406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9298 N 1128 W",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479608171",
            "telephone_number": "574-808-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9298 N 1128 W",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479608171",
            "telephone_number": "574-808-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA FIBERGLASS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "HEWITT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-808-4143",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Monticello, IN
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• Home Modifications Contractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.