NORTHERN MEDICAL & REHAB SUPPLIES (NPI# 1417046665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417046665 |
| Entity Type | Organization |
| Organization Name | NORTHERN MEDICAL & REHAB SUPPLIES |
| Practice Address |
7761 Lake Dr Ste B Lino Lakes MN 55014-1157 |
| Mailing Address |
18049 Kettle River Blvd Ne Forest Lake MN 55025-8436 |
| Practice Telephone | 6517847965 |
| Practice Fax Number | 6517847964 |
| Mailing Telephone | 6514644991 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LORI ANN ZARN (OWNER/OPERATOR) |
| Authorized Official Telephone | 6517847965 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
MN | Suppliers |
| Street Address |
7761 LAKE DR STE B |
| City | LINO LAKES |
| State | MN |
| Zip Code | 55014-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007918 | Andrea Bistodeau | Pharmacist | 4369 Ball Road Ne, Blaine, MN 55014 | 2020-06-13 |
| 1720462617 | Lino Lakes Gw, LLC | Assisted Living Facility | 675 Market Place Drive, Lino Lakes, MN 55014 | 2015-07-10 |
| 1578973376 | Beth Ann Schumacher | Counselor | 49 Central St Ste 2, Circle Pines, MN 55014 | 2014-05-01 |
| 1326479080 | Susan Grissom | Speech-Language Pathologist | 6776 Lake Drive, Advance Therapy, Lino Lakes, MN 55014 | 2013-12-06 |
| 1154759173 | Jennifer Cunningham | Massage Therapist | 3865 97th Ln Ne, Blaine, MN 55014 | 2013-10-30 |
| 1760695316 | Carol Elaine Jillian-ohana | Chiropractor | 7094 Lake Drive, Circle of Healing Arts, Lino Lakes, MN 55014 | 2007-05-08 |
| 1750434064 | Pamela Lynn Lenz | Speech-Language Pathologist | 6776 Lake Dr., #220, Lino Lakes, MN 55014 | 2007-01-19 |
| 1447342118 | David Joseph Beyer | Counselor | 7578 Leonard Ave., Lino Lakes, MN 55014 | 2006-09-29 |
| 1710089156 | Joel David Buys | Chiropractor | 7661 Lake Dr, Lino Lakes, MN 55014 | 2006-09-05 |
| 1881655538 | John M Stentz | Dentist | 640 Civic Heights Dr, Circle Pines, MN 55014 | 2006-03-31 |
| Find all providers in zip 55014 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053975045 | Erin Michelle Shusta | Durable Medical Equipment & Medical Supplies | 8722 47th St Sw, Howard Lake, MN 55349-5203 | 2019-04-25 |
| 1538635248 | Baby's On Broadway | Durable Medical Equipment & Medical Supplies | 47 E Broadway, Little Falls, MN 56345-3046 | 2018-10-19 |
| 1104392398 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 1875 Woodwinds Dr Ste 150, Woodbury, MN 55125-2518 | 2018-10-16 |
| 1588167886 | Wes Utility Services Inc | Durable Medical Equipment & Medical Supplies | 1064 140th Ave, Ogilvie, MN 56358-3568 | 2018-03-13 |
| 1528579869 | Anybattery Inc | Durable Medical Equipment & Medical Supplies | 2605 160th St W Ste 116, Rosemount, MN 55068-1632 | 2017-10-13 |
| 1801315650 | North Star Podiatric Laboratories Inc. | Durable Medical Equipment & Medical Supplies | 7400 Lyndale Ave S Ste 160, Richfield, MN 55423-4142 | 2017-09-13 |
| 1053831941 | Chanhassen Family Dentistry Pa | Durable Medical Equipment & Medical Supplies | 8116 Mallory Ct, Chanhassen, MN 55317-8586 | 2017-06-22 |
| 1972040319 | William Edward Goldberg | Durable Medical Equipment & Medical Supplies | 1254 Robert St S, 1260 South Robert Street, West St Paul, MN 55118-2448 | 2017-01-24 |
| 1639622814 | Berkshire Construction Company | Durable Medical Equipment & Medical Supplies | 2605 Fernbrook Ln N Ste A, Plymouth, MN 55447-4745 | 2016-07-25 |
| 1730541830 | Waldoch Crafts, Inc. | Durable Medical Equipment & Medical Supplies | 13821 Lake Dr Ne, Forest Lake, MN 55025-9444 | 2016-03-28 |
| Find all providers with the same taxonomy | ||||
| City | LINO LAKES |
| Zip Code | 55014 |
Please comment or provide details below to improve the information on NORTHERN MEDICAL & REHAB SUPPLIES.
| 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.