Provider Demographics
NPI:1437394707
Name:MIDWEST MEDICAL RESOURCES, INC.
Entity Type:Organization
Organization Name:MIDWEST MEDICAL RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:R
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-405-2760
Mailing Address - Street 1:9630 N BRADFORD AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64154-1722
Mailing Address - Country:US
Mailing Address - Phone:816-891-6559
Mailing Address - Fax:816-891-7481
Practice Address - Street 1:9630 N BRADFORD AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-1722
Practice Address - Country:US
Practice Address - Phone:816-891-6559
Practice Address - Fax:816-891-7481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies