MINNESOTA DURABLE MEDICAL EQUIPMENT LLC (NPI# 1811483795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811483795 |
| Entity Type | Organization |
| Organization Name | MINNESOTA DURABLE MEDICAL EQUIPMENT LLC |
| Practice Address |
15600 36th Ave N Ste 270 Minneapolis MN 55446-3372 |
| Practice Telephone | 6122102452 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |
| Authorized Official Name | JACK BALDWIN (DENTIST) |
| Authorized Official Telephone | 6122102452 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Street Address |
15600 36TH AVE N STE 270 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55446-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| Find all providers in zip 55446 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437552312 | Whole Builders Cooperative | Durable Medical Equipment & Medical Supplies | 2928 5th Ave S, Minneapolis, MN 55408-2412 | 2014-10-06 |
| 1245504489 | Bridge Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 2615 E Franklin Ave, Minneapolis, MN 55406-1103 | 2012-03-06 |
| 1609002609 | Lavern Thomas | Durable Medical Equipment & Medical Supplies | 1530 Queen Ave N, Minneapolis, MN 55411 | 2009-06-04 |
| 1578740148 | Quality Life Birth Resources | Durable Medical Equipment & Medical Supplies | 2708 Irving Ave N, Minneapolis, MN 55411-1227 | 2008-01-26 |
| 1790019461 | Harmonic Home Sleep Testing | Durable Medical Equipment & Medical Supplies | 825 Nicollet Mall, Suite 210, Minneapolis, MN 55402-2606 | 2009-09-28 |
| 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 | MINNEAPOLIS |
| Zip Code | 55446 |
Please comment or provide details below to improve the information on MINNESOTA DURABLE MEDICAL EQUIPMENT LLC.
| 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.