RANGE REGIONAL HEALTH SERVICES NPI 1710954821

NPI Information

NPI: 1710954821
Provider Name: RANGE REGIONAL HEALTH SERVICES
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Doing Business As: HEALTHLINE MEDICAL SUPPLY
Address: 2716 CRESCENT DRIVE
SUITE 1
INTERNATIONAL FALLS, MN
ZIP 56649
Phone: (218) 283-4174

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NPI Details

RANGE REGIONAL HEALTH SERVICES is a durable medical equipment medical supplies in International Falls, 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. RANGE REGIONAL HEALTH SERVICES NPI is 1710954821. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthline Medical Supply.

The provider's business location address is:

2716 CRESCENT DRIVE
SUITE 1
INTERNATIONAL FALLS, MN
ZIP 56649-198
Phone: (218) 283-4174
Fax: (218) 283-5561

The provider's authorized official is Debra Kathleen Boardman .
The authorized official title is President & Ceo and has the following contact phone number (218) 362-6730.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 7/9/2013.

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	332BN1400X	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies	No
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	No
4	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	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	461R0HE	OTHER	MINNESOTA	BLUECROSS BLUESHIELD
2	868182000	MEDICAID	MINNESOTA
3	0854500003	MEDICARE NSC
4	110274	OTHER	MINNESOTA	UCARE
5	82-14495	OTHER	MINNESOTA	MEDICA

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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