Provider Demographics
NPI:1366752065
Name:M & W MEDICAL SERVICES, LLC
Entity type:Organization
Organization Name:M & W MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-860-1399
Mailing Address - Street 1:PO BOX 11147
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65808-1147
Mailing Address - Country:US
Mailing Address - Phone:417-860-1399
Mailing Address - Fax:417-883-4467
Practice Address - Street 1:117 W SHERMAN WAY
Practice Address - Street 2:5
Practice Address - City:NIXA
Practice Address - State:MO
Practice Address - Zip Code:65714-7620
Practice Address - Country:US
Practice Address - Phone:417-724-1185
Practice Address - Fax:417-883-4467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies