Grand St Paul Cvs Llc in Otsego - Durable Medical Equipment & Medical Supplies

Grand St Paul Cvs Llc - NPI 1023030707

Grand St Paul Cvs Llc is a Durable Medical Equipment & Medical Supplies in Otsego, Minnesota. Grand St Paul Cvs Llc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Grand St Paul Cvs Llc is 1023030707. The last update date is 2016-11-21.

Grand St Paul Cvs Llc's current location address is 15800 87th St Ne, Otsego, Minnesota. You can contact this provider via phone number 7632521316 and fax number 7632521326. The mailing address for Grand St Paul Cvs Llc is 15800 87th St Ne, Otsego, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Grand St Paul Cvs Llc
Address 15800 87th St Ne, Otsego, Minnesota
Phone Number 7632521316
Fax Number 7632521326
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SR. DIRECT
Authorized Official Name Colbert Susan
Telephone Number 4017702751

NPI Number Detail

NPI Number 1023030707
Provider Enumeration Date 2006-07-24
Last Updated Date 2016-11-21

Provider Mailing Address Detail

Address 15800 87th St Ne
City Otsego
State Minnesota (MN)
Post Code 553306546
Phone Number 7632521316
Fax Number 7632521326

Provider's Primary Taxonomy Detail

Speciality Durable Medical Equipment & Medical Supplies
Taxonomy 332B00000X
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1178900 MN --
2047383 PK

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FAQs about Grand St Paul Cvs Llc

What is the unique provider identifier assigned to Grand St Paul Cvs Llc?

The Grand St Paul Cvs Llc has been issued the NPI (National Provider Identifier) 1023030707 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Grand St Paul Cvs Llc's physical address?

The Grand St Paul Cvs Llc is physically located at 15800 87Th St Ne, in the city of Otsego, MN, with the postal code 553306546.

What is the Grand St Paul Cvs Llc's area of specialization and corresponding taxonomy classification?

The Grand St Paul Cvs Llc's specialty field is Durable Medical Equipment & Medical Supplies, and it falls under the taxonomy code 332B00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1023030707 to Grand St Paul Cvs Llc?

The Centers for Medicare & Medicaid Services originally issued the 1023030707 to Grand St Paul Cvs Llc on 2006-07-24.

As of what date were the details related to Grand St Paul Cvs Llc most recently updated or revised?

The information pertaining to Grand St Paul Cvs Llc, including its address, specialty, and other relevant details, was last updated or revised on 2016-11-21.

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