Provider Demographics
NPI:1871785451
Name:LEIFELD CASH HARDWARE
Entity type:Organization
Organization Name:LEIFELD CASH HARDWARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-395-3387
Mailing Address - Street 1:429 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NE
Mailing Address - Zip Code:68620-1230
Mailing Address - Country:US
Mailing Address - Phone:402-395-3387
Mailing Address - Fax:402-395-3387
Practice Address - Street 1:429 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NE
Practice Address - Zip Code:68620-1230
Practice Address - Country:US
Practice Address - Phone:402-395-3387
Practice Address - Fax:402-395-3387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE4042410001Medicare NSC