Healthcare Provider Details

I. General information

NPI: 1669939773
Provider Name (Legal Business Name): MIDWEST RESPIRATORY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2019
Last Update Date: 02/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 BRANCH ST
SAINT LOUIS MO
63147-3503
US

IV. Provider business mailing address

9931 S 136TH ST STE 100
OMAHA NE
68138-3937
US

V. Phone/Fax

Practice location:
  • Phone: 314-313-0931
  • Fax: 877-662-0069
Mailing address:
  • Phone: 402-592-2435
  • Fax: 402-592-6914

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: MELISSA ELLAINE HINSLEY
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 402-592-2435