Custom Medical Equipment Llc in Grand Rapids - Customized Equipment
Custom Medical Equipment Llc - NPI 1306093463
Custom Medical Equipment Llc is a Customized Equipment in Grand Rapids, Minnesota. Custom Medical Equipment Llc practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Custom Medical Equipment Llc is 1306093463. The last update date is 2022-08-19.
Custom Medical Equipment Llc's current location address is 1001 S Pokegama Ave Ste A, Grand Rapids, Minnesota. You can contact this provider via phone number 2183262212. The mailing address for Custom Medical Equipment Llc is 1001 S Pokegama Ave Ste A, Grand Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Custom Medical Equipment Llc |
|---|---|
| Address | 1001 S Pokegama Ave Ste A, Grand Rapids, Minnesota |
| Phone Number | 2183262212 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Czerny Lyn Josephine |
| Credentials | CRTS |
| Telephone Number | 2183262212 |
NPI Number Detail
| NPI Number | 1306093463 |
|---|---|
| Provider Enumeration Date | 2008-08-20 |
| Last Updated Date | 2022-08-19 |
Provider Mailing Address Detail
| Address | 1001 S Pokegama Ave Ste A |
|---|---|
| City | Grand Rapids |
| State | Minnesota (MN) |
| Post Code | 557443919 |
| Phone Number | 2183262212 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
| Licence No | 9615269 |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 697697100 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Custom Medical Equipment Llc by the Centers for Medicare & Medicaid Services?
The Custom Medical Equipment Llc has been issued the NPI (National Provider Identifier) 1306093463 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Custom Medical Equipment Llc?
The Custom Medical Equipment Llc is physically situated at 1001 S Pokegama Ave Ste A, in the city of Grand Rapids, state of MN, with the postal code 557443919.
What is Custom Medical Equipment Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Custom Medical Equipment Llc's area of specialization is Customized Equipment, and the corresponding taxonomy code that categorizes this field of practice is 332Bc3200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306093463 to Custom Medical Equipment Llc?
The Centers for Medicare & Medicaid Services originally issued the 1306093463 to Custom Medical Equipment Llc on 2008-08-20.
When was the information related to Custom Medical Equipment Llc most recently updated or refreshed?
The details pertaining to the Custom Medical Equipment Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-08-19.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC