MILK MOMS, INC (NPI# 1306961511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306961511 |
| Entity Type | Organization |
| Organization Name | MILK MOMS, INC |
| Practice Address |
13783 Ibis St Nw Ste 200 Andover MN 55304-7649 |
| Practice Telephone | 7634130129 |
| Practice Fax Number | 7634139741 |
| Mailing Telephone | 7634130129 |
| Mailing Fax Number | 7634139741 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | MS. HEATHER JO HEGNA (OWNER) |
| Authorized Official Telephone | 7634130129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA PROVIDER ID | 8200265 | 01 |
| MN | UCARE PROVIDER ID | 160797 | 01 |
| MN | HEALTH PARTNERS | 92729 | 01 |
| MN | MN DHS PROVIDER ID | 367601300 | 01 |
| MN | BC BS PROVIDER ID | 56P99MI | 01 |
| MN | MHP PROVIDER ID | 040122005 | 01 |
| MN | PRIME WEST PROVIDER ID | 040122005 | 01 |
| Street Address |
13783 IBIS ST NW STE 200 |
| City | ANDOVER |
| State | MN |
| Zip Code | 55304-7649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402211 | Sarah Sue Anderson | Speech-Language Pathologist | 1891 Station Pkwy, Andover, MN 55304 | 2018-09-25 |
| 1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
| 1124544895 | Msp Dentistry Inc | Preferred Provider Organization | 13650 Hanson Blvd., Suite #110, Andover, MN 55304 | 2017-08-15 |
| 1912427931 | Brooke Nicole Halliday | Counselor | 1875 Station Pkwy Ne, Andover, MN 55304 | 2017-06-21 |
| 1700286903 | Jari Welle, Inc. | Marriage & Family Therapist | 1328 Mckay Drive Ne, Suite 100, Ham Lake, MN 55304 | 2014-08-26 |
| 1356765192 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1889 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1326462177 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1899 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1740619568 | Delores Weikle | Physical Therapist | 14531 Jay St, Andover, MN 55304 | 2013-11-02 |
| 1730527003 | Darkou Care Services | Home Health | 14297 Zilla Street Nw, Andover, MN 55304 | 2013-06-10 |
| 1770927758 | Arbor Oaks Senior Living | Assisted Living Facility | 1640 155th Lane Nw, Andover, MN 55304 | 2013-04-22 |
| Find all providers in zip 55304 | ||||
| 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 |
|---|---|---|---|---|
| 1578110540 | Price Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 307 W Hwy 54 Ste 200, Andover, KS 67002-7849 | 2019-08-23 |
| 1194158618 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1851 Bunker Lake Blvd Nw, Andover, MN 55304-4010 | 2013-08-20 |
| 1043225261 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 440 N Andover Rd, Andover, KS 67002-9508 | 2006-07-29 |
| 1013922244 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2134 Bunker Lake Blvd Nw, Andover, MN 55304-3910 | 2006-07-29 |
| 1033131727 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2000 Bunker Lake Blvd Nw, Andover, MN 55304-4014 | 2006-07-24 |
| 1811937634 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 225 E Cloud Ave, Andover, KS 67002 | 2006-06-08 |
| 1184232613 | Big Horn Dme LLC | Durable Medical Equipment & Medical Supplies | 300 Brickstone Sq Ste 201, Andover, MA 01810-1497 | 2020-07-21 |
| 1538635347 | Northern Ohio Medical Specialists, LLC | Durable Medical Equipment & Medical Supplies | 163 W Main St, Andover, OH 44003-9319 | 2018-10-18 |
| 1679067565 | Mid-america Orthopedics LLC | Durable Medical Equipment & Medical Supplies | 308 E Central Ave, Andover, KS 67002 | 2018-06-14 |
| 1053765602 | Dr. Michael J Jurenovich, D.o., PC | Durable Medical Equipment & Medical Supplies | 456 S Main St, Andover, OH 44003-9496 | 2016-04-20 |
| Find all providers in ANDOVER | ||||
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| 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.