MINIMED DISTRIBUTION CORP. (NPI# 1396984977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396984977 |
| Entity Type | Organization |
| Organization Name | MINIMED DISTRIBUTION CORP. |
| Practice Address |
5665 Sw Meadows Rd Suite 100 Lake Oswego OR 97035-3159 |
| Mailing Address |
18000 Devonshire St Attn: Angela Ward Northridge CA 91325-1219 |
| Practice Telephone | 8006464633 |
| Practice Fax Number | 8185766228 |
| Mailing Telephone | 8006464633 |
| Mailing Fax Number | 8185766228 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |
| Authorized Official Name | ANGELA E WARD (SENIOR COMPLIANCE SPECIALIST) |
| Authorized Official Telephone | 8042626492 |
| Is Organization Subpart | Y |
| Parent Organization Name | MINIMED DISTRIBUTION CORP. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831418672 | Minimed Distribution Corp. | Pharmacy | 18302 Talavera Rdg, San Antonio, TX 78257-2605 | 2010-05-19 |
| 1265688386 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 10801 Mastin St, Ste 340, Overland Park, KS 66210-1669 | 2008-08-08 |
| 1386890408 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 9850 Nw 41st St Ste 450, Attn: Paulina Miranda, Doral, FL 33178-2993 | 2008-08-08 |
| 1659537983 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 1584 S 500 W, Ste 102, Woods Cross, UT 84010-7436 | 2008-08-06 |
| 1558527895 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 11811 Willows Rd Ne, Redmond, WA 98052-2003 | 2008-08-06 |
| 1700042033 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 300 Interpace Pkwy Bldg A, Ste 340, Parsippany, NJ 07054-1100 | 2008-08-06 |
| 1598921975 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 1501 42nd St, Ste 350, West Des Moines, IA 50266-1005 | 2008-08-05 |
| 1487810867 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 3725 25th Ave, Schiller Park, IL 60176-2147 | 2008-08-05 |
| 1124213855 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 1800 Pyramid Pl, Memphis, TN 38132-1703 | 2007-09-06 |
| 1356334577 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 18000 Devonshire St, Attn: Legal Dept., Northridge, CA 91325-1219 | 2005-08-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MiniMed Distribution Corp. | 18000 Devonshire Street, Northridge, CA 91325 |
| Oregon Corporations, Companies and Business Names | MINIMED DISTRIBUTION CORP. | 18000 Devonshire St, Northridge, CA 91325 |
| Washington State Corporations | MINIMED DISTRIBUTION CORP. | 18000 Devonshire St, Northridge, CA 91325 |
| Iowa Business Entities | MINIMED DISTRIBUTION CORP. | 18000 Devonshire St, Northridge, CA 91325 |
| Connecticut Business Registrations | MINIMED DISTRIBUTION CORP. | 18000 Devonshire Street, Northridge, CA 91325 |
| Indiana Business Entities | MINIMED DISTRIBUTION CORPORATION | 18000 Devonshire St, Attn: Angela Ward, Northridge, CA 91325 |
| Street Address |
5665 SW MEADOWS RD SUITE 100 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| 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 |
|---|---|---|---|---|
| 1619487279 | True North Surgical Inc | Durable Medical Equipment & Medical Supplies | 19317 Lorna Ln, Lake Oswego, OR 97035-8036 | 2017-10-09 |
| 1245786235 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 5820 Jean Rd Ste 100, Lake Oswego, OR 97035-5304 | 2016-08-30 |
| 1194178137 | Bridgeworks Oregon | Durable Medical Equipment & Medical Supplies | 7021 Mcewan Rd, Lake Oswego, OR 97035-7830 | 2016-07-14 |
| 1174916043 | Biotronik, Inc. | Durable Medical Equipment & Medical Supplies | 6024 Jean Rd, Lake Oswego, OR 97035-5571 | 2015-03-16 |
| 1770924235 | Genesis Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 17394 Boones Ferry Rd, Lake Oswego, OR 97035-5218 | 2013-07-12 |
| 1336497312 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 17711 Jean Way, Lake Oswego, OR 97035-5305 | 2012-08-22 |
| 1326309279 | Northwest Mobility LLC | Durable Medical Equipment & Medical Supplies | 1405 Cherry Crest Ave, Lake Oswego, OR 97034-5932 | 2012-06-06 |
| 1730298027 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 90 B Avenue, Lake Oswego, OR 97034-3131 | 2006-08-30 |
| 1629187919 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 16390 Boones Ferry Rd, Lake Oswego, OR 97035-4262 | 2006-08-30 |
| 1649216250 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 401 A Ave, Lake Oswego, OR 97034-3037 | 2006-06-21 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on MINIMED DISTRIBUTION CORP..
| 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.