Provider Demographics
NPI:1215909957
Name:HAMMER INCORPORATED
Entity type:Organization
Organization Name:HAMMER INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-243-2886
Mailing Address - Street 1:1801 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-3606
Mailing Address - Country:US
Mailing Address - Phone:515-243-2886
Mailing Address - Fax:515-243-2522
Practice Address - Street 1:1719 1ST AVE E
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-4050
Practice Address - Country:US
Practice Address - Phone:641-792-9339
Practice Address - Fax:641-792-8370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-06
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
IA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2037242Medicaid
IA59253OtherWELLMARK PROVIDER NUMBER
0423840003Medicare NSC