Provider Demographics
NPI:1861461741
Name:E-MED MART INC
Entity Type:Organization
Organization Name:E-MED MART INC
Other - Org Name:MYMEDMART
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SEAMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-832-4849
Mailing Address - Street 1:PO BOX 215
Mailing Address - Street 2:
Mailing Address - City:WEBSTER CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50595
Mailing Address - Country:US
Mailing Address - Phone:515-832-4849
Mailing Address - Fax:515-832-4851
Practice Address - Street 1:909 WILLSON AVE
Practice Address - Street 2:
Practice Address - City:WEBSTER CITY
Practice Address - State:IA
Practice Address - Zip Code:50595-2214
Practice Address - Country:US
Practice Address - Phone:515-832-4849
Practice Address - Fax:515-832-4851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0199786Medicaid
IA0199786Medicaid