Healthcare Provider Details

I. General information

NPI: 1700836541
Provider Name (Legal Business Name): LONG TERM MEDICAL SUPPLY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 2ND AVE NW
HAMPTON IA
50441-1723
US

IV. Provider business mailing address

115 2ND AVE NW
HAMPTON IA
50441-1723
US

V. Phone/Fax

Practice location:
  • Phone: 641-456-3192
  • Fax: 641-456-2889
Mailing address:
  • Phone: 641-456-2885
  • Fax: 641-456-4482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. TODD R ALLBEE
Title or Position: HR
Credential:
Phone: 641-456-5636