Provider Demographics
NPI:1689972994
Name:MIDWEST RESPIRATORY CARE INC
Entity Type:Organization
Organization Name:MIDWEST RESPIRATORY CARE INC
Other - Org Name:JIMS HOME HEALTH SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-592-2435
Mailing Address - Street 1:9931 S 136TH ST
Mailing Address - Street 2:STE 100
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:
Practice Address - Street 1:3201 N 23RD ST STE 2
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-1310
Practice Address - Country:US
Practice Address - Phone:402-465-9000
Practice Address - Fax:402-592-6914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025327700Medicaid
NE09870OtherBCBS
NE5546220003Medicare NSC