Organization
CHOICE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN HENNING (OWNER)
(515) 232-6000
Entity
Organization
Contact information
Practice address
2117 PHILADELPHIA ST, SUITE 120, AMES, IA 50010-8775
(515) 232-6000
(515) 232-2600
Mailing address
2117 PHILADELPHIA ST, SUITE 120, AMES, IA 50010-8775
(515) 232-6000
(515) 232-2600
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262709
—
IA
01
—
46080
WELLMARK
IA
Enumeration date
12/14/2006
Last updated
06/02/2010
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