Provider Demographics
NPI:1568202588
Name:IOWA MEDICAL SUPPLY
Entity type:Organization
Organization Name:IOWA MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFLEUR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-564-7272
Mailing Address - Street 1:5465 MILLS CIVIC PKWY STE 230
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-5320
Mailing Address - Country:US
Mailing Address - Phone:515-564-7272
Mailing Address - Fax:515-564-7273
Practice Address - Street 1:5465 MILLS CIVIC PKWY STE 230
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5320
Practice Address - Country:US
Practice Address - Phone:515-564-7272
Practice Address - Fax:515-564-7273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-28
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies