Provider Demographics
NPI:1659423861
Name:HELGET MEDICAL SUPPLY
Entity Type:Organization
Organization Name:HELGET MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:NOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-354-5009
Mailing Address - Street 1:1721 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1832
Mailing Address - Country:US
Mailing Address - Phone:319-354-5009
Mailing Address - Fax:319-354-8122
Practice Address - Street 1:1721 2ND ST
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-1832
Practice Address - Country:US
Practice Address - Phone:319-354-5009
Practice Address - Fax:319-354-8122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA12711OtherBLUE CROSS BLUE SHIELD PR
IA0100834Medicaid
IA12711OtherBLUE CROSS BLUE SHIELD PR