Organization · Type 2 NPI

Columbia Park Medical Group, PA

Durable Medical Equipment & Medical Supplies · Andover, MN

NPI number 1942300801 Active

Practice location

13819 Hanson Blvd NW
Andover, MN 55304-7608

Call (763) 572-5710 Map

Fax (763) 862-4415

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.

35 other providers at this address

Other durable medical equipment & medical supplies providers in Andover

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NPI record

NPI: 1942300801
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

<unavail>
Andover Park Clinic - Dme · other name

Authorized official

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

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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 1942300801

Columbia Park Medical Group, PA's National Provider Identifier is 1942300801, issued on Sep 22, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Andover, MN. The record was last updated on Nov 13, 2007.