PARK NICOLLET HEALTH CARE PRODUCTS (NPI# 1215999628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215999628 |
| Entity Type | Organization |
| Organization Name | PARK NICOLLET HEALTH CARE PRODUCTS |
| Practice Address |
2001 Blaisdell Ave Minneapolis MN 55404-2414 |
| Mailing Address |
3800 Park Nicollet Blvd St Louis Park MN 55416-2527 |
| Practice Telephone | 9529938029 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2014-10-02 |
| Authorized Official Name | CATHERINE F LENAGH (CFO) |
| Authorized Official Telephone | 9529933108 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK NICOLLET HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
MN | Suppliers | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 21398500 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2406571 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376048728 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 921 Greeley St S # 19101a, Stillwater, MN 55082-5935 | 2018-03-28 |
| 1780103408 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 400 Wabasha Street Suite 260, St. Paul, MN 55102-1109 | 2017-09-13 |
| 1346598810 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 13688 Rogers Drive, Rogers, MN 55374-4916 | 2012-08-15 |
| 1235695594 | Park Nicollet Health Care Products | Eyewear Supplier (Equipment, not the service) | 8401 Golden Valley Rd, Golden Valley, MN 55427-4486 | 2019-02-12 |
| 1003311457 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2018-03-28 |
| 1487159836 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 927 Churchill St W, Stillwater, MN 55082-6605 | 2018-03-28 |
| 1881100089 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 700 5th St S, Hopkins, MN 55343-7764 | 2017-12-26 |
| 1114438546 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 411 Stageline Rd, Hudson, WI 54016-7848 | 2017-10-12 |
| 1144749862 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 155 Radio Drive, Woodbury, MN 55125-2040 | 2017-09-13 |
| 1629597331 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-09-13 |
| Street Address |
2001 BLAISDELL AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265415707 | John P Hedberg | Psychologist | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2005-11-29 |
| 1780237594 | Ronald Conklin Stimson II | Physical Therapist | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2019-07-20 |
| 1649753781 | Kaitlyn Neville | Physical Therapist | 2001 Blaisdell Ave, Minneapolis, MN 55404 | 2018-09-14 |
| 1023463015 | Lonzale Ramsey Jr. | Family Medicine | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2016-04-27 |
| 1992171714 | Allison Kubly | Physical Therapist | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2015-08-16 |
| 1730561549 | Kathleen Caulfield | Physical Therapist | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2015-06-29 |
| 1154763837 | Adno A Gatah | Nurse Practitioner | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2013-07-23 |
| 1437593993 | Eduardo Miguel Medina | Family Medicine | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2013-04-26 |
| 1033474390 | Matthew D. Neuger | Physical Therapist | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2012-07-11 |
| 1598057564 | Lindsay A Sorge | Pharmacist | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2011-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | 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 | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554225 | Mesa, LLC | Durable Medical Equipment & Medical Supplies | 2603 Bloomington Ave, Minneapolis, MN 55407-1137 | 2020-06-26 |
| 1588280408 | Convenient Care Inc. | Durable Medical Equipment & Medical Supplies | 1928 Portland Ave Apt S303, Minneapolis, MN 55404-3469 | 2020-06-17 |
| 1831720457 | Reemo Health, Inc | Durable Medical Equipment & Medical Supplies | 323 Washington Ave N Ste 300, Minneapolis, MN 55401-2206 | 2020-02-02 |
| 1942831839 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 4601 Snelling Ave, Minneapolis, MN 55406-4464 | 2020-01-29 |
| 1902443765 | Nasiye Group Home Corp | Durable Medical Equipment & Medical Supplies | 3913 4th Ave S, Minneapolis, MN 55409-1614 | 2019-11-28 |
| 1154974913 | Magnolia Home Healthcare LLC | Durable Medical Equipment & Medical Supplies | 951 Ne Lowry Ave #314, Minneapolis, MN 55418 | 2019-07-22 |
| 1912565136 | Dbm,llc | Durable Medical Equipment & Medical Supplies | 1206 Harmon Pl, Minneapolis, MN 55403-1919 | 2019-06-03 |
| 1073008264 | Tayin Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1005 E 24th St Ste 1005, Minneapolis, MN 55404-3833 | 2018-06-29 |
| 1275025447 | Independent Medical Supply L.l.c | Durable Medical Equipment & Medical Supplies | 2924 Anthony Ln Ste 105, Minneapolis, MN 55418-3280 | 2018-06-04 |
| 1821517053 | Human Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 2910 Pillsbury Ave S Apt 434, Minneapolis, MN 55408-5504 | 2017-09-19 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on PARK NICOLLET HEALTH CARE PRODUCTS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.