MEDICARE: NEWSTYLE MEDICAL SUPPLIER 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	10024980400	NE

General Provider Information

NPI Number	:	1154320612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWSTYLE MEDICAL SUPPLIER LLC

Provider Business Mailing Address
First Line	:	411 W 5TH ST
Second Line	:
City	:	LOUISVILLE
State	:	NE
Zip	:	68037-6007
Country	:	US
Telephone Number	:	402-234-2545
Fax Number	:	402-234-3278

Provider Business Practice Location Address
First Line	:	411 W 5TH ST
Second Line	:
City	:	LOUISVILLE
State	:	NE
Zip	:	68037-6007
Country	:	US
Telephone Number	:	402-234-2545
Fax Number	:	402-234-3278

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. SARAH CLINE
Credential	:
Telephone Number	:	402-234-2545

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	08/22/2020

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