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POWER CHAIRS AND SCOOTER STORE MEDICAL SUPPLY LLC NPI 1346684289


NPI Information

NPI: 1346684289
Provider Name: POWER CHAIRS AND SCOOTER STORE MEDICAL SUPPLY LLC

Doing Business As: FOREST LAKE MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
540 MAIN ST S
PINE CITY, MN
ZIP 55063
Phone: (320) 629-1149
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POWER CHAIRS AND SCOOTER STORE MEDICAL SUPPLY LLC is a durable medical equipment medical supplies in Pine City, 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. POWER CHAIRS AND SCOOTER STORE MEDICAL SUPPLY LLC NPI is 1346684289. The provider is registered as an organization entity type.
The provider Is Doing Business As Forest Lake Medical Supply.

The provider's business location address is:

540 MAIN ST S
PINE CITY, MN
ZIP 55063
Phone: (320) 629-1149
Fax: (320) 629-1287

The provider's authorized official is Joel R Erickson .
The authorized official title is Owner / President and has the following contact phone number (651) 982-0002.

The enumeration date for this NPI number is 4/22/2013 and was last updated on 10/10/2018.


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 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
11346684289MEDICAIDMINNESOTA
21447560057MEDICAIDMINNESOTA

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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