Provider Demographics
NPI:1164429064
Name:HAMMER INCORPORATED
Entity Type:Organization
Organization Name:HAMMER INCORPORATED
Other - Org Name:NUCARA HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-243-2886
Mailing Address - Street 1:1801 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-3606
Mailing Address - Country:US
Mailing Address - Phone:515-243-2886
Mailing Address - Fax:515-243-2522
Practice Address - Street 1:1801 2ND AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-3606
Practice Address - Country:US
Practice Address - Phone:515-243-2886
Practice Address - Fax:515-243-2522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
IA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0124107Medicaid
IA0456269Medicaid
IA1037242Medicaid
IA0291518Medicaid
IA4037242Medicaid
IA59251OtherWELLMARK PROVIDER #
IA3037242Medicaid
IA0168534Medicaid
IA2037242Medicaid
IA1037242Medicaid
IA0423840008Medicare ID - Type UnspecifiedOTTUMWA MEDICARE
IA3037242Medicaid
IA0291518Medicaid
IA0168534Medicaid
IA2037242Medicaid