Organization
MIDWEST RESPIRATORY CARE INC
Active
Other names
Blair Medical Supply and Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD A DELASHMUTT (PRESIDENT)
(402) 592-2435
Entity
Organization
Contact information
Practice address
1215 E 17TH ST, FREMONT, NE 68025-3264
(402) 948-4700
(402) 592-6914
Mailing address
9931 S 136TH ST STE 100, OMAHA, NE 68138-3937
(402) 592-2435
(402) 592-6914
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0599704
—
IA
01
—
09870
BLUE CROSS BLUE SHIELD
NE
05
—
10025327700
—
NE
01
—
93895
BLUE CROSS BLUE SHIELD
IA
Enumeration date
01/11/2012
Last updated
01/19/2015
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