CARL'S FOOTWEAR NPI 1386792802

NPI Information

NPI: 1386792802
Provider Name: CARL'S FOOTWEAR
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
319 9TH ST
SHELDON, IA
ZIP 51201
Phone: (712) 324-2623
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CARL'S FOOTWEAR is a durable medical equipment medical supplies in Sheldon, IA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CARL'S FOOTWEAR NPI is 1386792802. The provider is registered as an organization entity type.

The provider's business location address is:

319 9TH ST
SHELDON, IA
ZIP 51201-556
Phone: (712) 324-2623

The provider's authorized official is Joel Bousema .
The authorized official title is President and has the following contact phone number (712) 324-2623.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 11/19/2007.

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	332B00000X	Durable Medical Equipment & Medical Supplies		71006602	IOWA	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	0133405	MEDICARE ID-TYPE UNSPECIFIED	IOWA
2	4820950001	MEDICARE NSC

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: 5/5/2024

NPI Synchronization or Removal

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