Organization Active NPI

Long Term Medical Supply Corporation

  • Durable Medical Equipment & Medical Supplies
  • Manchester, IA
National Provider Identifier
1497796122
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LONG TERM MEDICAL SUPPLY CORPORATION
Practice address
107 E Main St
Manchester, IA 52057-1736
Phone
(563) 927-3836
Fax
(563) 927-3839
NPI assigned
Jun 10, 2006
Last updated
Jun 16, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
LONG TERM MEDICAL SUPPLYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Mr. Todd R Allbee
Title
HR
Phone
(641) 456-5636

Specialties & licenses 1

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

Addresses

Primary practice location

107 E Main St
Manchester, IA 52057-1736

Mailing address

115 2ND Ave NW
Hampton, IA 50441-1723
Phone (641) 456-2885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930005335 IA DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 8820115306 Practice locations: Manchester, IA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Long Term Medical Supply Corp107 E Main St, Manchester, IA 52057-1736(563) 927-3836 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Negative Pressure Wound Therapy Pumps/Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms… Does not accept assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory
Tax ID family
Long Term Medical Supply Corporation4 organizations share this tax ID, including this one
Part of
Long Term Medical Supply Corporation

Other organizations with this tax ID 3

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

Locations

107 E Main St
Manchester, IA 52057
Phone (563) 927-3836

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1497796122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 2ND AVE NW",
            "city": "HAMPTON",
            "state": "IA",
            "postal_code": "504411723",
            "telephone_number": "641-456-2885",
            "fax_number": "641-456-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571736",
            "telephone_number": "563-927-3836",
            "fax_number": "563-927-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG TERM MEDICAL SUPPLY CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONG TERM MEDICAL SUPPLY",
        "enumeration_date": "2006-06-10",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "ALLBEE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "641-456-5636",
        "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 Manchester, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.