Provider Demographics
NPI:1679687859
Name:MIDWEST RESPIRATORY CARE INC
Entity Type:Organization
Organization Name:MIDWEST RESPIRATORY CARE INC
Other - Org Name:NEB DOCTORS OF NEBRASKA & IOWA, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:DELASHMUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-592-2435
Mailing Address - Street 1:9931 S 136TH ST 100
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68138-3937
Mailing Address - Country:US
Mailing Address - Phone:402-592-2435
Mailing Address - Fax:402-592-6914
Practice Address - Street 1:9931 S 136TH ST 100
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68138-3937
Practice Address - Country:US
Practice Address - Phone:402-592-2435
Practice Address - Fax:402-592-6914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0599704Medicaid
NE09870OtherBCBS
NE10025327700Medicaid
IA93895OtherBCBS
IA0599704Medicaid