NPIMap

Organization Active NPI

Southwest Iowa Medical Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Glenwood, IA
National Provider Identifier
1912001918
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOUTHWEST IOWA MEDICAL SERVICES INC
Doing business as
Southwest Iowa Medical Equipment
Practice address
1201 S Locust St
Glenwood, IA 51534-1872
Phone
(712) 527-1301
Fax
(712) 527-1302
NPI assigned
Sep 11, 2006
Organization subpart
Yes
Parent organization
SOUTHWEST IOWA MEDICAL SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Mr. James L Clough
Title
Ceo
Phone
(712) 382-1515

Specialties & licenses 1

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

Addresses

Primary practice location

1201 S Locust St
Glenwood, IA 51534-1872

Mailing address

2959 US Highway 275
Hamburg, IA 51640
Phone (712) 382-1515

Other identifiers 2

IdentifierTypeStateIssuer
0196105MedicaidIA
23572OtherIABLUE CROSS BLUE SHIELD

Other names 1

  • Southwest Iowa Medical Equipment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southwest Iowa Medical Services Inc2 organizations share this tax ID, including this one
Part of
Southwest Iowa Medical Services Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1912001918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 US HIGHWAY 275",
            "city": "HAMBURG",
            "state": "IA",
            "postal_code": "51640",
            "telephone_number": "712-382-1515",
            "fax_number": "712-382-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S LOCUST ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341872",
            "telephone_number": "712-527-1301",
            "fax_number": "712-527-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST IOWA MEDICAL SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST IOWA MEDICAL SERVICES INC",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "CLOUGH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-382-1515",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "0196105",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "23572",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Iowa Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenwood, IA

Sources for this page

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