Individual ProviderNoah SmithSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1450 Alta Vista St, Dubuque, IA 52001-4327(563) 258-2520PECOS EnrollmentBased on the most recent information from CMS, provider Noah Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1982236824Provider TypeIndividualFull NameSmith, NoahGenderMaleSole ProprietorYesEnumeration Date2/9/2020Last Updated2/9/2020Contact InformationPractice LocationPractice Address1450 Alta Vista St, Dubuque, IA 52001-4327Phone(563) 258-2520FaxUnlisted FaxMailing LocationMailing Address505 5th St SW, Farley, IA 52046-9527Phone(563) 258-2520FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2255A2300XPrimaryDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer