Organization
MISSOURI BREAKS INDUSTRIES RESEARCH, INC.
Active
Other names
Missouri Breaks Durable Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
BLAINE O'LEARY (MANAGER)
(605) 964-3418
Entity
Organization
Contact information
Practice address
118 S WILLOW ST, EAGLE BUTTE, SD 57625
(605) 964-3418
(605) 964-3415
Mailing address
PO BOX 1824, EAGLE BUTTE, SD 57625-1824
(605) 964-3418
(605) 964-3415
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4995628
BLUECROSS/BLUESHIELD
SD
05
—
9161950
—
SD
01
—
9218369
DAKOTA CARE
SD
Enumeration date
01/12/2006
Last updated
08/17/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up