GT UROLOGICAL, LLC


Address: 1313 5th St Se, Suite 221, Minneapolis, MN 55414-4504
Phone: 6123793578

GT UROLOGICAL, LLC (NPI# 1114036241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114036241
Entity Type Organization
Organization Name GT UROLOGICAL, LLC
Practice Address 1313 5th St Se
Suite 221
Minneapolis
MN 55414-4504
Practice Telephone 6123793578
Practice Fax Number 6123793579
Mailing Telephone 6123793578
Mailing Fax Number 6123793579
Enumeration Date 2006-08-30
Last Update Date 2008-11-25
Authorized Official Name MR. GERALD W TIMM (PRESIDENT)
Authorized Official Telephone 6123793578
Authorized Official Credential PH. D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site 6700564 MN Suppliers

Office Location

Street Address 1313 5TH ST SE
SUITE 221
City MINNEAPOLIS
State MN
Zip Code 55414-4504

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

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1215152863 Fairview Medication Therapy Management Non-Pharmacy Dispensing Site 606 24th Ave So., Suite 222, Riverside Professional Building, Minneapolis, MN 55454 2007-04-16
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Competitor

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City MINNEAPOLIS
Zip Code 55414

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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