Organization · Type 2 NPI

Centracare Medical Supply LLC

Durable Medical Equipment & Medical Supplies · Madison, MN

NPI number 1831792993 Active

Practice location

105 6th Ave
Madison, MN 56256-1300

Call (320) 762-6036 Map

Mailing address

1200 6th Ave N
St. Cloud, MN 56303-2736

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.

NPI record

NPI: 1831792993
Entity type: Organization (Type 2)
Issued: Nov 19, 2020
Last updated: Nov 19, 2020
Status: Active
Subpart: Yes of Centracare Medical Supply LLC

Other names

Rice Home Medical LLC - Dme Madison · doing business as

Authorized official

Michael A Blair
SR VP & CFO
(320) 255-5665

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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 1831792993

Centracare Medical Supply LLC's National Provider Identifier is 1831792993, issued on Nov 19, 2020. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Madison, MN. The record was last updated on Nov 19, 2020.