Long Term Medical Supply Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

191010836 Issued in IA

Legal business name

LONG TERM MEDICAL SUPPLY CORP

Practice address

126 N Howard St
Suite 102
Indianola, IA 50125

Phone

(641) 456-2885

Fax

(515) 962-2085

NPI assigned

Sep 29, 2011

Last updated

Jun 16, 2015By the provider in NPPES

Organization subpart

No

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

Addresses

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1548544216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N HOWARD ST",
            "address_2": "SUITE 102",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252562",
            "telephone_number": "515-962-2198",
            "fax_number": "515-962-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N HOWARD ST",
            "address_2": "SUITE 102",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "50125",
            "telephone_number": "641-456-2885",
            "fax_number": "515-962-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG TERM MEDICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "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": "IA",
            "license": "191010836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.