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MIDLAND PROHEALTH NPI 1396774550


NPI Information

NPI: 1396774550
Provider Name: MIDLAND PROHEALTH

Doing Business As: COSTCARE MEDICAL STORE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3003 32ND AVE S
#7
FARGO, ND
ZIP 58103
Phone: (701) 277-1993
Get Directions

MIDLAND PROHEALTH is a durable medical equipment medical supplies in Fargo, ND. 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. MIDLAND PROHEALTH NPI is 1396774550. The provider is registered as an organization entity type.
The provider Is Doing Business As Costcare Medical Store.

The provider's business location address is:

3003 32ND AVE S
#7
FARGO, ND
ZIP 58103-163
Phone: (701) 277-1993
Fax: (701) 277-3192

The provider's authorized official is Gerald P Geiger .
The authorized official title is Director and has the following contact phone number (701) 277-1993.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17871OTHERNORTH DAKOTABCBS
239354OTHERMINNESOTAHEALTH PARTNERS
345036MIOTHERMINNESOTABCBS
445036MIOTHERMINNESOTABLUE PLUS
556385MEDICAIDNORTH DAKOTA
670510OTHERNORTH DAKOTABCBS
79150240MEDICAIDSOUTH DAKOTA
845036OTHERCOMP CARE
945036MIOTHERCIGNA EMPLOYEE
105603806OTHERMONTANAMEDICAID
1176571OTHERMINNESOTAHEALTH PARTNERS
128200344OTHERMINNESOTAMEDICA
13MHE432581OTHERPGA PROCARE

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: 4/28/2024

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