NPIMap

Organization Active NPI

Home Health Medical Equipment Inc

Doing business as Dba Western Iowa Medcial

  • Oxygen Equipment & Supplies (DME)
  • Harlan, IA
National Provider Identifier
1801807813
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
HOME HEALTH MEDICAL EQUIPMENT INC
Doing business as
Dba Western Iowa Medcial
Practice address
804 Cyclone Ave
Harlan, IA 51537-1300
Phone
(712) 755-2148
NPI assigned
Aug 11, 2006
Last updated
Aug 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Authorized official

Name
Mr. Terry J. Stoural
Title
President
Phone
(712) 755-2148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X IA Primary

Addresses

Primary practice location

804 Cyclone Ave
Harlan, IA 51537-1300

Mailing address

804 Cyclone Ave
P O Box 388
Harlan, IA 51537-1300
Phone (712) 755-2148

Other identifiers 1

IdentifierTypeStateIssuer
0067074MedicaidIA

Other names 1

  • DBA WESTERN IOWA MEDCIAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930000119 IA DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & Equipment 9335266956 Practice locations: Harlan, IA

Other NPIs with the same Medicare PAC ID 3

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
Home Health Medical Equipment Inc804 Cyclone Ave, Harlan, IA 51537-1300(712) 755-2148 Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Cru… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Home Health Medical Equipment Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1801807813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 CYCLONE AVE",
            "address_2": "P O BOX 388",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515371300",
            "telephone_number": "712-755-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 CYCLONE AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515371300",
            "telephone_number": "712-755-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "STOURAL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-755-2148",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067074",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA WESTERN IOWA MEDCIAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harlan, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.