Midwest Medical, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Watertown, SD
NPI 1891769147 · NPPES record last updated Sep 9, 2020
Key facts
- NPI
- 1891769147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- MIDWEST MEDICAL, INC.
- Practice address
- 615 6TH St SE
Watertown, SD 57201-4926 - Phone
- (605) 882-4210
- Fax
- (605) 882-4211
- NPI assigned
- Feb 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Kay Johnson
- Title
- Board Member
- Phone
- (605) 882-4210
Practitioners 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Midwest Medical Service, Inc. |
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 assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930000553 | SD | DME Supplier - Medical Supply Company |
6406973817 | Practice locations: Watertown, SD |
National Provider Directory
Locations
615 6th St SE
Watertown, SD 57201
Phone (605) 882-4210
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2998 | Other | SD | AVERA HEALTH PLAN |
| 9162540 | Medicaid | SD | |
| 2482 | Other | SD | SIOUX VALLEY HEALTH PLAN |
| 0077352 | Other | SD | BLUE CROSS/ BLUE SHIELD |
| 447563100 | Medicaid | MN |
Other names
- Midwest Medical Services, Inc
Other providers in Watertown, SD
- Danielle Meyer
- Hilary A Meyer
- Kahley Elizabeth Meyer
- Nichole Renee Meyer
- Michael J Vener M D P C
- Christine Miller
- Danielle Terese Miller
- Nathaniel Michael Miller
- Rebecca Kay Miller
- Steven E Miller
All providers in Watertown, SD · Durable Medical Equipment & Medical Supplies in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.