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PARK NICOLLET HEALTH CARE PRODUCTS NPI 1659450963


NPI Information

NPI: 1659450963
Provider Name: PARK NICOLLET HEALTH CARE PRODUCTS
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 24D0666567

Address:
1885 PLAZA DR
EAGAN, MN
ZIP 55122
Phone: (952) 993-4001
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PARK NICOLLET HEALTH CARE PRODUCTS is a durable medical equipment medical supplies in Eagan, 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. PARK NICOLLET HEALTH CARE PRODUCTS NPI is 1659450963. The provider is registered as an organization entity type.

The provider's business location address is:

1885 PLAZA DR
EAGAN, MN
ZIP 55122-612
Phone: (952) 993-4001

The provider's authorized official is Catherine F Lenagh .
The authorized official title is Cfo and has the following contact phone number (952) 993-3108.

The CLIA number assigned to this NPI record is 24D0666567 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 10/2/2014.


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 License Number License State Primary
13336C0002XPharmacyClinic PharmacyMINNESOTANo
2332B00000XDurable 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12415253OTHERNCPDP PROVIDER INDENTIFICATION NUMBER
24464590010MEDICARE NSCMINNESOTA

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: 5/5/2024

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