Organization
SOUTHWEST IOWA MEDICAL SERVICES INC
Active
Other names
Southwest Iowa Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L CLOUGH (CEO)
(712) 382-1515
Entity
Organization
Contact information
Practice address
1109 MAIN ST, HAMBURG, IA 51640-1233
(712) 382-2051
(712) 382-2750
Mailing address
2959 US HIGHWAY 275, HAMBURG, IA 51640
(712) 382-1515
(712) 382-2023
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235721
—
IA
01
—
23572
WELLMARK BCBS
IA
Enumeration date
05/27/2006
Last updated
08/22/2020
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