Active NPI
Heritage Medical Equipment and Supplies Inc
- Durable Medical Equipment & Medical Supplies
- Burlington, IA
National Provider Identifier
1346290996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 203.000124
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202598 | Medicaid | IA | |
| 20259 | Other | IA | WELLMARK BCBS OF IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930038614 | IA | DME Supplier - Medical Supply Company | 1456478478 | Practice locations: Burlington, IA |
National Provider Directory
National Provider Directory- Tax ID family
- Heritage Medical Equipment and Supplies Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Burlington, IA
- NPI 1689791972
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.
-
- Obstetrics & Gynecology Physician
- West Burlington, IA
- NPI 1003877184
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.