Medsource Llc

LBN: Medsource Llc
Medsource Llc is an health care organization with primary practice located at 2301 W 1St St Ste 5, Ankeny IA 50023-2470. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Medsource Llc can be contacted via phone (515) 965-6967, or through Rohde, Eric via phone (309) 664-7930.

Contact Information

Primary practice address
2301 W 1St St Ste 5 Ankeny IA 50023-2470
Phone: (515) 965-6967
Fax: (515) 965-6973
Website:
Map and Directions
Authorized official contact:
Name: Rohde, Eric
Phone: (309) 664-7930

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 203.000461 Illinois

Profile Details

NPI number 1922264159
LBN Legal business name Medsource Llc
DBA Doing business as
Authorized official Rohde, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2008
Last updated Jun 20th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922264159 NPPES
Iowa MEDICAID 0598110

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