CROWN MEDICAL SUPPLY INC (NPI# 1114540382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114540382 |
| Entity Type | Organization |
| Organization Name | CROWN MEDICAL SUPPLY INC |
| Practice Address |
393 Dunlap St N Ste Ll44 Saint Paul MN 55104-4237 |
| Practice Telephone | 6122271677 |
| Mailing Telephone | 6122271677 |
| Mailing Fax Number | 6513403880 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | OMAR ALI (CEO) |
| Authorized Official Telephone | 6122271677 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
393 DUNLAP ST N STE LL44 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407349566 | Twins Care LLC | Adult Companion | 393 Dunlap St N Ste Ll44, Saint Paul, MN 55104-4237 | 2018-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1285125104 | Fritz and Finn Medical Group | Durable Medical Equipment & Medical Supplies | 2248 Sargent Ave, Saint Paul, MN 55105-1158 | 2018-05-26 |
| 1255854139 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 16435 Wise St, Saint Paul, VA 24283-0980 | 2017-07-21 |
| 1174065007 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 30 Fairview Ave S, Saint Paul, MN 55105-1463 | 2016-11-09 |
| 1770998494 | Twins Medical Inc | Durable Medical Equipment & Medical Supplies | 761 Milton St N, Saint Paul, MN 55104-1530 | 2014-06-23 |
| 1730504143 | Express Durable Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2200 Highway 36 E Ste 2206, Saint Paul, MN 55109-2840 | 2014-02-20 |
| 1972930089 | Metro Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 388 Western Ave N, Saint Paul, MN 55103-2170 | 2013-10-03 |
| 1609201433 | East Metro Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 217 Como Ave Ste 169, Saint Paul, MN 55103-1838 | 2013-09-11 |
| 1578902995 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Wabasha St S Ste 110, Saint Paul, MN 55107-1818 | 2013-06-19 |
| 1033400858 | Liberty Oxygen and Home Care, Inc | Durable Medical Equipment & Medical Supplies | 17 Exchange St W # 130, Saint Paul, MN 55102-1045 | 2011-04-27 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on CROWN MEDICAL SUPPLY INC.
| 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.