MEDICARE: ANDERSON SERVICES, LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies		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	:	1093912164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDERSON SERVICES, LLC

Provider Business Mailing Address
First Line	:	2201 FALLS AVE
Second Line	:
City	:	WATERLOO
State	:	IA
Zip	:	50701-5705
Country	:	US
Telephone Number	:	319-287-8014
Fax Number	:	319-287-9486

Provider Business Practice Location Address
First Line	:	2201 FALLS AVE
Second Line	:
City	:	WATERLOO
State	:	IA
Zip	:	50701-5705
Country	:	US
Telephone Number	:	319-287-8014
Fax Number	:	319-287-9486

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. JAMIE F ANDERSON
Credential	:
Telephone Number	:	319-287-8014

Provider Enumeration Date	:	06/30/2007
Last Update Date	:	08/22/2020

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