Organization
MOUNTAIN MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANA LEIGH MORIN-PERKINS (OWNER)
(913) 894-1064
Entity
Organization
Contact information
Practice address
11765 W 86TH TER, LENEXA, KS 66214-1534
(913) 894-1064
(833) 663-6322
Mailing address
9008 W 77TH ST, OVERLAND PARK, KS 66204-2531
(816) 678-3839
(833) 663-6322
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9297946
PRIVATE INSURANCE
KS
Enumeration date
02/26/2019
Last updated
09/09/2020
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