Organization Active NPI

Midwest Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Beatrice, NE
National Provider Identifier
1477555050
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MIDWEST MEDICAL SUPPLY
Practice address
117 N 5TH St
Beatrice, NE 68310-3902
Phone
(402) 223-2300
Fax
(402) 223-2315
NPI assigned
Aug 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mithcell E Deines, RP
Title
President
Phone
(402) 223-2300

Specialties & licenses 1

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

Addresses

Primary practice location

117 N 5TH St
Beatrice, NE 68310-3902

Mailing address

117 N 5TH St
Beatrice, NE 68310-3902
Phone (402) 223-2300

Other identifiers 2

IdentifierTypeStateIssuer
08862OtherBLUE CROSS NEBRASKA
10024972500MedicaidNE

National Provider Directory

National Provider Directory

Locations

117 N 5th St
Beatrice, NE 68310
Phone (402) 223-2300

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477555050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N 5TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103902",
            "telephone_number": "402-223-2300",
            "fax_number": "402-223-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N 5TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103902",
            "telephone_number": "402-223-2300",
            "fax_number": "402-223-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEINES",
        "authorized_official_first_name": "MITHCELL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-223-2300",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NEBRASKA",
            "identifier": "08862",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024972500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beatrice, NE

Sources for this page

  • 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.