BRAATEN HEALTH LLC NPI 1073750956

NPI Information

NPI: 1073750956
Provider Name: BRAATEN HEALTH LLC

Doing Business As: MIDWEST THERAPY

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
5403 VICTORIA AVE
SUITE 20
DAVENPORT, IA
ZIP 52807
Phone: (563) 327-0132
Get Directions

BRAATEN HEALTH LLC is a customized equipment durable medical equipment medical supplies in Davenport, IA. BRAATEN HEALTH LLC NPI is 1073750956. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Therapy.

The provider's business location address is:

5403 VICTORIA AVE
SUITE 20
DAVENPORT, IA
ZIP 52807-925
Phone: (563) 327-0132
Fax: (563) 359-5642

The provider's authorized official is Annette D Lane .
The authorized official title is Accounts Receivable and has the following contact phone number (563) 327-0133.

The enumeration date for this NPI number is 1/14/2009 and was last updated on 1/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0645085	MEDICAID	IOWA
2	164503	MEDICARE OSCAR/CERTIFICATION
3	38860	OTHER		WELLMARK BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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