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Contact Information

COMMUNITY MEDICAL SUPPLY, INC.
1723 HAWKEYE DR
HIAWATHA, IA52233-4703
 Phone: 319-356-0202
 Fax: 319-356-0201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for COMMUNITY MEDICAL SUPPLY, INC.

NPI Number 1407843980
LBN Legal business name COMMUNITY MEDICAL SUPPLY, INC.
Authorized official WENDY RUSSALESI - (CCO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/30/2005
Last updated 10/13/2025 - About 8 months ago
Identifiers
IA License # 01042
IA Medicaid 0463349
IA Other 59499 WELLMARK BC & BS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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