RELIABLE MEDICAL SUPPLY LLC NPI 1134542673

NPI Information

NPI: 1134542673
Provider Name: RELIABLE MEDICAL SUPPLY LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3555 9TH ST NW
SUITE 300
ROCHESTER, MN
ZIP 55901
Phone: (507) 218-3880
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RELIABLE MEDICAL SUPPLY LLC is a durable medical equipment medical supplies in Rochester, MN. The provider is 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. RELIABLE MEDICAL SUPPLY LLC NPI is 1134542673. The provider is registered as an organization entity type.

The provider's business location address is:

3555 9TH ST NW
SUITE 300
ROCHESTER, MN
ZIP 55901
Phone: (507) 218-3880
Fax: (507) 218-3881

The provider's authorized official is Katee Dirksen .
The authorized official title is Vice President Of Operations and has the following contact phone number (763) 255-3801.

The enumeration date for this NPI number is 2/3/2014 and was last updated on 11/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	No
3	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	No
4	335E00000X	Prosthetic/Orthotic Supplier		No
5	332B00000X	Durable Medical Equipment & Medical Supplies		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1030555	OTHER	MINNESOTA	PREFERRED ONE
2	105239	OTHER	MINNESOTA	UCARE
3	915363200	MEDICAID	MINNESOTA
4	8214389	OTHER	MINNESOTA	MEDICA CHOICE
5	3184	OTHER	MINNESOTA	HEALTHPARTNERS
6	60677RE	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
7	8200081	OTHER	MINNESOTA	MEDICA PRIMARY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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