Provider Demographics
NPI:1326461575
Name:MIDWEST BUILDING SUPPY, INC
Entity Type:Organization
Organization Name:MIDWEST BUILDING SUPPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:KREHBIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-794-2112
Mailing Address - Street 1:P.O. BOX 567
Mailing Address - Street 2:
Mailing Address - City:GODDARD
Mailing Address - State:KS
Mailing Address - Zip Code:67052
Mailing Address - Country:US
Mailing Address - Phone:316-794-2112
Mailing Address - Fax:316-794-2190
Practice Address - Street 1:201 E. 6TH ST. CR.
Practice Address - Street 2:
Practice Address - City:GODDARD
Practice Address - State:KS
Practice Address - Zip Code:67052
Practice Address - Country:US
Practice Address - Phone:316-794-2112
Practice Address - Fax:316-794-2190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-23
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment