MEDICARE: MIDWEST MEDICAL INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)		IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093709677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST MEDICAL INC.

Provider Business Mailing Address
First Line	:	422 S PIERCE AVE
Second Line	:	SUITE 104
City	:	MASON CITY
State	:	IA
Zip	:	50401-2739
Country	:	US
Telephone Number	:	641-422-9999
Fax Number	:	641-422-9999

Provider Business Practice Location Address
First Line	:	422 S PIERCE AVE
Second Line	:	SUITE 104
City	:	MASON CITY
State	:	IA
Zip	:	50401-2739
Country	:	US
Telephone Number	:	641-422-9999
Fax Number	:	641-422-9999

Authorized Official
Title or Position	:	OWNER/OFFICE MANAGER
Name	:	MRS. RENEE LYNN WEAVER
Credential	:
Telephone Number	:	641-422-9999

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	08/22/2020

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Directions to “MIDWEST MEDICAL INC. ” Practice Location

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