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Organization

MIDWEST MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MITHCELL E DEINES RP (PRESIDENT)
(402) 223-2300
Entity
Organization

Contact information

Practice address
117 N 5TH ST, BEATRICE, NE 68310-3902
(402) 223-2300
(402) 223-2315
Mailing address
117 N 5TH ST, BEATRICE, NE 68310-3902
(402) 223-2300
(402) 223-2315

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08862
BLUE CROSS NEBRASKA
05
10024972500
NE
Enumeration date
08/12/2005
Last updated
08/22/2020
About Stedi
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