Provider Demographics
NPI:1154793479
Name:MIDWEST RESPIRATORY CARE INC
Entity type:Organization
Organization Name:MIDWEST RESPIRATORY CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HALL
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-592-2435
Mailing Address - Street 1:9931 S 136TH ST
Mailing Address - Street 2:SUITE 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:402-592-6914
Practice Address - Street 1:7200 HUDSON BLVD N
Practice Address - Street 2:SUITE 185
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-7055
Practice Address - Country:US
Practice Address - Phone:402-592-2435
Practice Address - Fax:402-592-6914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5546220011Medicare NSC