HEIDE'S MASTECTOMY SERVICES INC. NPI 1154402600

NPI Information

  • NPI: 1154402600
  • Provider Name: HEIDE'S MASTECTOMY SERVICES, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: HEIDE'S
  • Address: 3400 W 66TH ST
    SUITE 440
    EDINA, MN
    ZIP 55435
  • Phone: (952) 925-7837

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NPI Details

HEIDE'S MASTECTOMY SERVICES, INC. is a durable medical equipment medical supplies in Edina, 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. HEIDE'S MASTECTOMY SERVICES, INC. NPI is 1154402600. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heide's.

The provider's business location address is:

3400 W 66TH ST
SUITE 440
EDINA, MN
ZIP 55435-111
Phone: (952) 925-7837
Fax: (952) 925-1081

The provider's authorized official is Kathleen Ruth Heide-wrazidlo .
The authorized official title is Owner and has the following contact phone number (952) 925-7837.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 5/7/2018.

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 License Number License State Primary
1174400000XSpecialistNo
2332B00000XDurable Medical Equipment & Medical SuppliesN/AMINNESOTAYes

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
1106055OTHERMICRONESIAUCARE
23299743OTHERMINNESOTABCBS
301006410OTHERMINNESOTAPREFERRED ONE
4968563400MEDICAIDMINNESOTA
515908OTHERMINNESOTAHEALTH PARTNERS
68211002OTHERMINNESOTAMEDICA

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: 11/21/2025

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