HEIDE'S MASTECTOMY SERVICES OF DULUTH. (NPI# 1851474506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851474506 |
| Entity Type | Organization |
| Organization Name | HEIDE'S MASTECTOMY SERVICES OF DULUTH. |
| Other Organization Name | HEIDE'S |
| Practice Address |
701 1/2 North 6th Ave. East Duluth MN 55805-1333 |
| Practice Telephone | 2187227860 |
| Practice Fax Number | 2187227872 |
| Mailing Telephone | 2187227860 |
| Mailing Fax Number | 2187227872 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-09-09 |
| Authorized Official Name | MS. KATHLEEN R WRAZIDLO (OWNER) |
| Authorized Official Telephone | 2187227860 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | N/A | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERRED ONE | 1011560 | 01 |
| WI | 41665200 | 05 | |
| MN | 784363100 | 05 | |
| MN | HEALTH PARTNERS | 60724 | 01 |
| MN | MEDICA | 8211003 | 01 |
| MN | BCBS | 3833743 | 01 |
| WI | BCBS | 41166285019 | 01 |
| Other Name | Type Code |
|---|---|
| Heide's | Doing Business As Name - Organization |
| Street Address |
701 1/2 NORTH 6TH AVE. EAST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| 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 |
|---|---|---|---|---|
| 1205475936 | Divine Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 3502 Satellite Blvd Ste 6, Duluth, GA 30096-5820 | 2019-12-28 |
| 1285296533 | Sunae Hyun Lee | Durable Medical Equipment & Medical Supplies | 2550 Pleasant Hill Rd Ste 106, Duluth, GA 30096-4153 | 2019-07-07 |
| 1851852651 | Rh Allergy Acquisition, LLC. | Durable Medical Equipment & Medical Supplies | 3575 Koger Blvd Ste 240, Duluth, GA 30096-4958 | 2019-03-26 |
| 1073000782 | Remedi Medical Solutions | Durable Medical Equipment & Medical Supplies | 3675 Crestwood Pkwy Nw Ste 500, Duluth, GA 30096-5054 | 2018-04-18 |
| 1871956409 | Wilmington Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 3805 Crestwood Pkwy Nw Ste 100, Duluth, GA 30096-7106 | 2016-03-31 |
| 1952715096 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1215 E Superior St, Duluth, MN 55802-2218 | 2014-06-17 |
| 1225380454 | Unique Beauty & Hair Supply LLC | Durable Medical Equipment & Medical Supplies | 115 N 3rd Ave W, Duluth, MN 55802-1600 | 2012-10-11 |
| 1093060725 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 4528 Grand Ave, Duluth, MN 55807-2740 | 2012-07-18 |
| 1336441088 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1609 Kenwood Ave, Duluth, MN 55811-2221 | 2010-12-01 |
| 1689906729 | Darlene's Hair Stylists | Durable Medical Equipment & Medical Supplies | 1920 W Superior St, Duluth, MN 55806-2141 | 2010-01-30 |
| Find all providers in DULUTH | ||||
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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.