Organization Active NPI

Heartland Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
National Provider Identifier
1306182266
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEARTLAND MEDICAL SUPPLY, LLC
Practice address
1005 S 107TH Ave
Omaha, NE 68114-4793
Phone
(402) 397-5880
NPI assigned
Dec 21, 2012
Last updated
May 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Mr. Christian Blunk
Title
Representitive
Phone
(402) 397-5880

Specialties & licenses 1

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

Addresses

Primary practice location

1005 S 107TH Ave
Omaha, NE 68114-4793

Mailing address

PO Box 45489
Omaha, NE 68145-0489

National Provider Directory

National Provider Directory

Locations

1005 S 107th Ave
Omaha, NE 68114
Phone (402) 397-5880

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1306182266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45489",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681450489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S 107TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144793",
            "telephone_number": "402-397-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "BLUNK",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "REPRESENTITIVE",
        "authorized_official_telephone_number": "402-397-5880",
        "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": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.