Provider Demographics
NPI:1912014960
Name:TWL BILLING SERVICES & SUPPLIES, INC.
Entity Type:Organization
Organization Name:TWL BILLING SERVICES & SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:FAY
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-642-1055
Mailing Address - Street 1:PO BOX 706
Mailing Address - Street 2:
Mailing Address - City:SPEARFISH
Mailing Address - State:SD
Mailing Address - Zip Code:57783-0706
Mailing Address - Country:US
Mailing Address - Phone:605-642-1055
Mailing Address - Fax:605-642-2022
Practice Address - Street 1:1600 BASIN AVE STE 2
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-6947
Practice Address - Country:US
Practice Address - Phone:701-323-7941
Practice Address - Fax:701-323-7943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
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
MT0005602945Medicaid
IA0525030Medicaid
IA99893OtherBLUE CROSS BLUE SHIELD
ND19846OtherBLUE CROSS BLUE SHIELD
MT311390OtherBLUE CROSS BLUE SHIELD
CO49782274Medicaid
KS0452308OtherBLUE CROSS BLUE SHIELD
SD4997486OtherBLUE CROSS BLUE SHIELD
SD9160502Medicaid
ND051673Medicaid
MN40Y01TWOtherBLUE CROSS BLUE SHIELD
NE=========54Medicaid
MT311390OtherBLUE CROSS BLUE SHIELD