Organization
CHILDSERVE MEDICAL EQUIPMENT & SUPPLY INC.
Active
Parent organization
CHILDSERVE INC.
Other names
ChildServe Medical Equipment & Supply Inc. Waiver
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDSERVE INC.
Authorized official
RODNEY WILDRICK (DIRECTOR OF ACCOUNTING)
(515) 727-1468
Entity
Organization
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757
Mailing address
PO BOX 707, JOHNSTON, IA 50131-0707
(515) 727-8750
(515) 727-8757
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0234229
—
IA
01
—
23422
BC BS OF IOWA
IA
01
—
F240616
MIDLAND'S CHOICE DEFINITY
IA
Enumeration date
02/09/2007
Last updated
04/18/2019
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