Organization
WESTERN CPAP SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALAN SCHULTZ RPSGT (OWNER)
(308) 633-3000
Entity
Organization
Contact information
Practice address
2855 10TH ST STE C, GERING, NE 69341-2202
(308) 633-3002
(308) 633-3001
Mailing address
2855 10TH ST STE C, GERING, NE 69341-2202
(308) 633-3002
(308) 633-3001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09054
BCBS NEBRASKA
NE
05
—
10025548500
—
NE
01
—
134338749 69361 0000
TRICARE
—
Enumeration date
12/13/2006
Last updated
05/23/2022
Update your record
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