Organization Active NPI

Midwest Medical, Inc.

Doing business as Midwest Medical Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Watertown, SD
National Provider Identifier
1891769147
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MIDWEST MEDICAL, INC.
Doing business as
Midwest Medical Services, Inc
Practice address
615 6TH St SE
Watertown, SD 57201-4926
Phone
(605) 882-4210
Fax
(605) 882-4211
NPI assigned
Feb 14, 2006
Last updated
Sep 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Kay Johnson
Title
Board Member
Phone
(605) 882-4210

Specialties & licenses 1

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

Addresses

Primary practice location

615 6TH St SE
Watertown, SD 57201-4926

Mailing address

615 6TH St SE
Watertown, SD 57201-4926
Phone (605) 882-4210

Other names 1

  • Midwest Medical Services, Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930000553 SD DME Supplier - Medical Supply CompanyDME Supplier - Prosthetic PersonnelDME Supplier - Oxygen & Equipment 6406973817 Practice locations: Watertown, SD

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
Midwest Medical Service, Inc.615 6TH St SE, Watertown, SD 57201-4938(605) 882-4210 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Ultraviolet Light Devi… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

615 6th St SE
Watertown, SD 57201
Phone (605) 882-4210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1891769147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 6TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014926",
            "telephone_number": "605-882-4210",
            "fax_number": "605-882-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 6TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014926",
            "telephone_number": "605-882-4210",
            "fax_number": "605-882-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "605-882-4210"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Medical Services, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Medical Services, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.