Fred Mathews Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FRED MATHEWS INC.

Doing business as

northern air

Practice address

40 1St St SE
Waukon, IA 52172-2022

Phone

(563) 568-6004

Fax

(563) 568-6139

NPI assigned

Jan 16, 2006

Last updated

Aug 22, 2020By 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. Fred Jay Mathews, RRT

Title

President

Phone

(563) 568-6004

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• northern air Doing business as

Locations

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285613414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521720008",
            "telephone_number": "563-568-6004",
            "fax_number": "563-568-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 1ST ST SE",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521722022",
            "telephone_number": "563-568-6004",
            "fax_number": "563-568-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED MATHEWS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-568-6004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163972",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "16397",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "northern air",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.