Organization Active NPI

Heritage Medical Equipment and Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Burlington, IA
National Provider Identifier
1346290996
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203.000124 Issued in IL
Legal business name
HERITAGE MEDICAL EQUIPMENT AND SUPPLIES INC
Practice address
624 S Roosevelt Ave
Burlington, IA 52601
Phone
(319) 768-4300
Fax
(319) 753-3693
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Jeremy Alexander
Title
Ceo
Phone
(319) 768-3280

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203.000124 IL Primary
Prosthetic/Orthotic Supplier 335E00000X 203.000134 IL

Addresses

Primary practice location

624 S Roosevelt Ave
Burlington, IA 52601

Mailing address

PO Box 1440
Burlington, IA 52601-8440
Phone (319) 768-4300

Other identifiers 2

IdentifierTypeStateIssuer
0202598MedicaidIA
20259OtherIAWELLMARK BCBS OF IA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930038614 IA DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 1456478478 Practice locations: Burlington, IA

National Provider Directory

National Provider Directory
Tax ID family
Heritage Medical Equipment and Supplies Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

624 S Roosevelt Ave
Burlington, IA 52601
Phone (319) 768-4300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1346290996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1440",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526018440",
            "telephone_number": "319-768-4300",
            "fax_number": "319-753-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 S ROOSEVELT AVE",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "52601",
            "telephone_number": "319-768-4300",
            "fax_number": "319-753-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MEDICAL EQUIPMENT AND SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-768-3280"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203.000124",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "203.000134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0202598",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IA",
            "identifier": "20259",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.