MISSOURI BREAKS INDUSTRIES RESEARCH INC. NPI 1699754143

NPI Information

NPI: 1699754143
Provider Name: MISSOURI BREAKS INDUSTRIES RESEARCH, INC.

Doing Business As: MISSOURI BREAKS DURABLE MEDICAL EQUIPMENT

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
118 S WILLOW ST
EAGLE BUTTE, SD
ZIP 57625
Phone: (605) 964-3418
Get Directions

MISSOURI BREAKS INDUSTRIES RESEARCH, INC. is a durable medical equipment medical supplies in Eagle Butte, SD. 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. MISSOURI BREAKS INDUSTRIES RESEARCH, INC. NPI is 1699754143. The provider is registered as an organization entity type.
The provider Is Doing Business As Missouri Breaks Durable Medical Equipment.

The provider's business location address is:

118 S WILLOW ST
EAGLE BUTTE, SD
ZIP 57625
Phone: (605) 964-3418
Fax: (605) 964-3415

The provider's authorized official is Blaine O'leary .
The authorized official title is Manager and has the following contact phone number (605) 964-3418.

The enumeration date for this NPI number is 1/12/2006 and was last updated on 8/17/2018.

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				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	9161950	MEDICAID	SOUTH DAKOTA
2	=========	OTHER	SOUTH DAKOTA	GUARDIAN
3	=========	OTHER	SOUTH DAKOTA	GOLDEN RULE
4	=========	OTHER	SOUTH DAKOTA	NTCA
5	4995628	OTHER	SOUTH DAKOTA	BLUECROSS/BLUESHIELD
6	=========	OTHER	SOUTH DAKOTA	1ST AMERICAN ADMINISTRAT
7	=========	OTHER	SOUTH DAKOTA	TRI-CARE
8	=========	OTHER	SOUTH DAKOTA	MAIL HANDLERS
9	9218369	OTHER	SOUTH DAKOTA	DAKOTA CARE

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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