Provider Demographics
NPI:1790826840
Name:MIDWEST MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:MIDWEST MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO-CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:H
Authorized Official - Last Name:FRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:913-647-4511
Mailing Address - Street 1:14217 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-5208
Mailing Address - Country:US
Mailing Address - Phone:913-647-4511
Mailing Address - Fax:818-230-9049
Practice Address - Street 1:14217 W 95TH ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-5208
Practice Address - Country:US
Practice Address - Phone:913-647-4511
Practice Address - Fax:818-230-9049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-10
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS5895150002Medicare NSC