South West Missouri Handycap, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUTH WEST MISSOURI HANDYCAP, INC.

Practice address

29074 Impatiens LN
Carl Junction, MO 64834-8141

Phone

(417) 649-7968

Fax

(417) 649-0237

NPI assigned

Dec 4, 2005

Last updated

Apr 20, 2008By 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. Robert D Skoglund

Title

President

Phone

(417) 649-7968

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1133654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1275517161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29074 IMPATIENS LN",
            "city": "CARL JUNCTION",
            "state": "MO",
            "postal_code": "648348141",
            "telephone_number": "417-649-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29074 IMPATIENS LN",
            "city": "CARL JUNCTION",
            "state": "MO",
            "postal_code": "648348141",
            "telephone_number": "417-649-7968",
            "fax_number": "417-649-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WEST MISSOURI HANDYCAP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SKOGLUND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-649-7968",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI DEPT SPECIAL HEA",
            "identifier": "41806404-01",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.