PARK NICOLLET HEALTH CARE PRODUCTS (NPI# 1427128230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427128230 |
| Entity Type | Organization |
| Organization Name | PARK NICOLLET HEALTH CARE PRODUCTS |
| Practice Address |
3007 Harbor Ln N Plymouth MN 55447-5103 |
| Mailing Address |
3800 Park Nicollet Blvd St Louis Park MN 55416-2527 |
| Practice Telephone | 9529938900 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | CATHERINE F LENAGH (CFO) |
| Authorized Official Telephone | 9529933108 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK NICOLLET HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376048728 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 921 Greeley St S # 19101a, Stillwater, MN 55082-5935 | 2018-03-28 |
| 1780103408 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 400 Wabasha Street Suite 260, St. Paul, MN 55102-1109 | 2017-09-13 |
| 1346598810 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 13688 Rogers Drive, Rogers, MN 55374-4916 | 2012-08-15 |
| 1235695594 | Park Nicollet Health Care Products | Eyewear Supplier (Equipment, not the service) | 8401 Golden Valley Rd, Golden Valley, MN 55427-4486 | 2019-02-12 |
| 1003311457 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2018-03-28 |
| 1487159836 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 927 Churchill St W, Stillwater, MN 55082-6605 | 2018-03-28 |
| 1881100089 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 700 5th St S, Hopkins, MN 55343-7764 | 2017-12-26 |
| 1114438546 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 411 Stageline Rd, Hudson, WI 54016-7848 | 2017-10-12 |
| 1144749862 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 155 Radio Drive, Woodbury, MN 55125-2040 | 2017-09-13 |
| 1629597331 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-09-13 |
| Street Address |
3007 HARBOR LN N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55447-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285618819 | Douglas Lowin | Family Medicine | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2005-12-06 |
| 1326654450 | Madeline Felice Nehotte | Technician, Other | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-09-23 |
| 1922614502 | Caitlin Patricia Hall | Behavior Technician | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-09-19 |
| 1134734734 | Katelyn Ann Parker | Technician, Other | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-09-10 |
| 1013526193 | Nathan Robert Richards | Technician, Other | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-07-24 |
| 1124646625 | Kylie Aanerud | Behavior Technician | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-07-10 |
| 1013534338 | Sara Krebsbach | Behavior Technician | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2020-07-02 |
| 1881088102 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2015-03-25 |
| 1366678351 | Caroline Ruth Mathews | Pediatrics | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2009-06-03 |
| 1598839250 | Mohammad Tariq Fareed | Family Medicine | 3007 Harbor Ln N, Plymouth, MN 55447-5103 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
| 1497262224 | Rajo Care Home Inc | Assisted Living Facility | 14015 Rockford Rd, Plymouth, MN 55447 | 2018-01-02 |
| 1790145647 | Mary Kathleen Salveson | Occupational Therapist | Therapy Junction 14130 23rd Ave N, Plymouth, MN 55447 | 2016-03-03 |
| 1477954253 | Very Best PCa Services | Home Health | 14300 34th Ave N, #111, Plymouth, MN 55447 | 2014-09-11 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1336480946 | Arthur Andrew Hoffman | Chiropractor | 16815 22nd Ave North, Plymouth, MN 55447 | 2013-03-06 |
| 1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
| 1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| Find all providers in zip 55447 | ||||
| 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 |
|---|---|---|---|---|
| 1922568302 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 12800 Industrial Park Blvd Ste 140&155, Plymouth, MN 55441-3974 | 2019-03-22 |
| 1639689854 | Macomb Primary Care, P.c | Durable Medical Equipment & Medical Supplies | 851 South Main Street, Suite #3, Plymouth, MI 48170 | 2017-10-02 |
| 1295077725 | Emilou Gray Phelps | Durable Medical Equipment & Medical Supplies | 454 Us Highway 64 E, Plymouth, NC 27962-9593 | 2013-03-22 |
| 1437418134 | Ferris Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 1842 Magnolia Ln N, Plymouth, MN 55441-4024 | 2012-05-15 |
| 1346518933 | Cvs Manchester Nh, LLC | Durable Medical Equipment & Medical Supplies | 345 Highland St, Plymouth, NH 03264-3609 | 2011-12-09 |
| 1700187705 | Independent Medical Supply Comany | Durable Medical Equipment & Medical Supplies | 14486 Oxford, Plymouth, MI 48170-2674 | 2010-11-06 |
| 1669709572 | Bright Solutions | Durable Medical Equipment & Medical Supplies | 178 Halfway Pond Rd, Plymouth, MA 02360-3253 | 2009-11-13 |
| 1902039076 | Alla G. Vaynberg | Durable Medical Equipment & Medical Supplies | 10230 28th Ave N, Plymouth, MN 55441-3265 | 2009-08-24 |
| 1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
| 1861641250 | Mayflower Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 127 Camelot Dr, Suite 1, Plymouth, MA 02360-3039 | 2008-09-10 |
| Find all providers in PLYMOUTH | ||||
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| 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.