Coborns Inc in Clearwater - Parenteral & Enteral Nutrition
Coborns Inc - NPI 1003989641
Coborns Inc is a Parenteral & Enteral Nutrition in Clearwater, Minnesota. Coborns Inc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Coborns Inc is 1003989641. The last update date is 2020-08-21.
Coborns Inc's current location address is 705 County Road 75 Nw, Clearwater, Minnesota. You can contact this provider via phone number 3205582454 and fax number 3205584575. The mailing address for Coborns Inc is 705 County Road 75 Nw, Clearwater, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coborns Inc |
|---|---|
| Address | 705 County Road 75 Nw, Clearwater, Minnesota |
| Phone Number | 3205582454 |
| Fax Number | 3205584575 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Young R Lynn |
| Credentials | RPH |
| Telephone Number | 3205342743 |
NPI Number Detail
| NPI Number | 1003989641 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2020-08-21 |
Provider Mailing Address Detail
| Address | 705 County Road 75 Nw |
|---|---|
| City | Clearwater |
| State | Minnesota (MN) |
| Post Code | 553202070 |
| Phone Number | 3205582454 |
| Fax Number | 3205584575 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2048578 | PK | ||
| 1003989641 | MN | -- |
Post Comment/ Review Below
What is the Coborns Inc's 1003989641?
The Coborns Inc's NPI (National Provider Identifier) Number is 1003989641. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Coborns Inc's facilities are situated?
The facilities of Coborns Inc are physically located at the following address: 705 County Road 75 Nw, Clearwater, MN, 553202070.
What is the Coborns Inc's specialty and taxonomy code?
The Coborns Inc's specialty is Parenteral & Enteral Nutrition, and the corresponding taxonomy code is 332Bp3500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003989641 to Coborns Inc?
The Coborns Inc received its 1003989641 assignment from the Centers for Medicare & Medicaid Services on 2006-11-15.
When was the information regarding Coborns Inc most recently updated?
The details pertaining to the Coborns Inc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-21.
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