Keokuk Area Medical Equipment & Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KEOKUK AREA MEDICAL EQUIPMENT & SUPPLY, INC.

Practice address

420 N 17TH St
Keokuk, IA 52632-3452

Phone

(319) 524-6356

Fax

(319) 524-6355

NPI assigned

Feb 14, 2006

Last updated

Nov 24, 2020By 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

Ms. Lora Ann Taylor

Title

Authorized Agent

Phone

(319) 526-8760

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1639143977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N 17TH ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526323452",
            "telephone_number": "319-524-6356",
            "fax_number": "319-524-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N 17TH ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526323452",
            "telephone_number": "319-524-6356",
            "fax_number": "319-524-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEOKUK AREA MEDICAL EQUIPMENT & SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "319-526-8760",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "622096006",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104547",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keokuk Area Hospital
• Keokuk Area Hospital
• Keokuk Area Hospital
• Keokuk Area Hospital
• Keokuk Area Hospital (Blessing Health Keokuk)
• Keokuk C.S.D.
• Keokuk Chiropractic & Sports Injury Center, Inc.
• Keokuk Fire Department, City of Keokuk
• Jacob Sung Sik Keum, D.O.
• Kevan S. Zechin, M.D.

• Durable Medical Equipment & Medical Supplies in Keokuk, IA
• Providers in Keokuk, IA by specialty
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.