Provider Demographics
NPI:1609656271
Name:PEORIA MIDWEST EQUPIMENT INC
Entity Type:Organization
Organization Name:PEORIA MIDWEST EQUPIMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-082-4322
Mailing Address - Street 1:4826 W FARMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61604-4626
Mailing Address - Country:US
Mailing Address - Phone:309-676-5855
Mailing Address - Fax:309-676-1921
Practice Address - Street 1:4826 W FARMINGTON RD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61604-4626
Practice Address - Country:US
Practice Address - Phone:309-676-5855
Practice Address - Fax:309-676-1921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies