Organization
RYDALE MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA D GOODLETT (PRESIDENT)
(402) 697-3949
Entity
Organization
Contact information
Practice address
16909 LAKESIDE HILLS PLZ, SUITE 108, OMAHA, NE 68130-4654
(402) 697-3949
(402) 697-3950
Mailing address
16909 LAKESIDE HILLS PLZ, SUITE 108, OMAHA, NE 68130-4654
(402) 697-3949
(402) 697-3950
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NONE REQUIRED
NE
332BC3200X
Customized Equipment (DME)
NONE REQUIRED
NE
332BD1200X
Dialysis Equipment & Supplies (DME)
NONE REQUIRED
NE
332BN1400X
Nursing Facility Supplies (DME)
NONE REQUIRED
NE
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
NONE REQUIRED
NE
332BX2000X
Oxygen Equipment & Supplies (DME)
NONE REQUIRED
NE
332S00000X
Hearing Aid Equipment
NONE REQUIRED
NE
332U00000X
Home Delivered Meals
NONE REQUIRED
NE
335E00000X
Prosthetic/Orthotic Supplier
NONE REQUIRED
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025338400
—
NE
01
—
D09862
BCBS NE
NE
Enumeration date
02/20/2006
Last updated
11/28/2007
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