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
Update your record
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