Organization
SOUTHWEST IOWA MEDICAL SERVICES INC
Active
Parent organization
SOUTHWEST IOWA MEDICAL SERVICES INC
Other names
Southwest Iowa Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST IOWA MEDICAL SERVICES INC
Authorized official
MR. JAMES L CLOUGH (CEO)
(712) 382-1515
Entity
Organization
Contact information
Practice address
1201 S LOCUST ST, GLENWOOD, IA 51534-1872
(712) 527-1301
(712) 527-1302
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
—
0196105
—
IA
01
—
23572
BLUE CROSS BLUE SHIELD
IA
Enumeration date
09/11/2006
Last updated
07/23/2007
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