MD West One, PC
Durable Medical Equipment & Medical Supplies in Council Bluffs, IA. Organization (NPI-2).
NPI number1164049490
StatusActive
Last updated in NPPESAug 21, 2023
Details
- NPI
- 1164049490
- Entity type
- Organization (NPI-2)
- Legal business name
- MD West One, PC
- Organization subpart
- No
- Enumeration date
- Jul 2, 2020
- Certification date
- Aug 21, 2023
- Last updated
- Aug 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 207X00000X | Orthopaedic Surgery | – | – | |
| 207T00000X | Neurological Surgery | – | – |
Practice location
1 Edmundson Pl Ste 200Council Bluffs, IA 51503-4658
Phone 402-390-4111 · Fax 402-390-4115
Mailing address
8005 Farnam Dr Ste 305Omaha, NE 68114-3426
Phone 402-390-4111 · Fax 402-399-8455
Authorized official
Stacie Church
Cfo/Business Manager
4023989243
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