Long Term Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LONG TERM MEDICAL SUPPLY

Practice address

929 Broad St
Grinnell, IA 50112-2088

Phone

(641) 236-0608

Fax

(641) 236-0709

NPI assigned

May 16, 2006

Last updated

Nov 14, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

LONG TERM MEDICAL SUPPLYAs reported in NPPES

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

Authorized official

Name

Mr. Larry Lindley, COO

Title

Chief Operations Officer

Phone

(641) 456-2885

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Long Term Medical Supply Corporation

  • Durable Medical Equipment & Medical Supplies
  • Manchester, IA
  • NPI 1497796122
  NPD tax ID
• Long Term Medical Supply Corporation

  • Durable Medical Equipment & Medical Supplies
  • Iowa Falls, IA
  • NPI 1699727040
  NPD tax ID
• Long Term Medical Supply Corporation

  • Durable Medical Equipment & Medical Supplies
  • Hampton, IA
  • NPI 1700836541
  NPD tax ID

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1881646065",
    "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": "929 BROAD ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122088",
            "telephone_number": "641-236-0608",
            "fax_number": "641-236-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG TERM MEDICAL SUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONG TERM MEDICAL SUPPLY",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "LINDLEY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "16414562885",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEID",
            "identifier": "25137",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS",
            "identifier": "F243213",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480368",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Kotz, DPT
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• Nathan Luther Lester, D.C.
• Katie M Little, LMHC
• Kun-Hong Lu, LISW
• Robert James Ludwig Jr., MS.ED
• Alisha Lyons
• Andrew Lyons, OT
• Trudy Ellen Magurshak, LISW

• Durable Medical Equipment & Medical Supplies in Grinnell, IA
• Providers in Grinnell, 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 14, 2007; 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.