Organization · Type 2 NPI

Columbia Park Medical Group, PA

Durable Medical Equipment & Medical Supplies · Fridley, MN

NPI number 1609976570 Active

Practice location

6341 University Ave NE
Fridley, MN 55432-4946

Call (763) 572-5710 Map

Fax (763) 586-5888

Mailing address

6401 University Ave NE
Fridley, MN 55432-4341

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: 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.

63 other providers at this address

Other durable medical equipment & medical supplies providers in Fridley

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NPI record

NPI: 1609976570
Entity type: Organization (Type 2)
Issued: Sep 22, 2006
Last updated: Nov 13, 2007
Status: Active
Subpart: Yes of Columbia Park Medical Group, PA

Other names

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Fridley Plaza Clinic - Dme · other name

Authorized official

Joen V Condon
Chief Financial Officer
(763) 586-5839

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609976570

Columbia Park Medical Group, PA's National Provider Identifier is 1609976570, issued on Sep 22, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Fridley, MN. The record was last updated on Nov 13, 2007.