Organization
HERITAGE MEDICAL EQUIPMENT AND SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J MCCOY (CEO)
(319) 768-3268
Entity
Organization
Contact information
Practice address
624 S ROOSEVELT AVE, BURLINGTON, IA 52601
(319) 768-4300
(319) 753-3693
Mailing address
PO BOX 1440, BURLINGTON, IA 52601-8440
(319) 768-4300
(319) 753-3693
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203.000124
IL
335E00000X
Prosthetic/Orthotic Supplier
203.000134
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202598
—
IA
01
—
20259
WELLMARK BCBS OF IA
IA
Enumeration date
05/12/2006
Last updated
03/09/2026
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