MINIMED DISTRIBUTION CORP. (NPI# 1659537983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659537983 |
| Entity Type | Organization |
| Organization Name | MINIMED DISTRIBUTION CORP. |
| Practice Address |
1584 S 500 W Ste 102 Woods Cross UT 84010-7436 |
| Mailing Address |
18000 Devonshire St Attn: Angela Ward Northridge CA 91325-1219 |
| Practice Telephone | 8009333322 |
| Practice Fax Number | 8185766228 |
| Mailing Telephone | 8009333322 |
| Mailing Fax Number | 8185766228 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |
| 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 |
| 1396984977 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 5665 Sw Meadows Rd, Suite 100, Lake Oswego, OR 97035-3159 | 2009-02-05 |
| 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 |
| 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 |
1584 S 500 W STE 102 |
| City | WOODS CROSS |
| State | UT |
| Zip Code | 84010-7436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| 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 |
|---|---|---|---|---|
| 1902113715 | Ihc Health Services Inc | Durable Medical Equipment & Medical Supplies | 1440 S 500 W, Woods Cross, UT 84010-8143 | 2010-09-01 |
| 1851605760 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2576 S Highway 89, Woods Cross, UT 84010-7738 | 2010-08-03 |
| 1598782112 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 680 W 2600 S, Woods Cross, UT 84010-8190 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285205 | Utah Diabetic Supply | Durable Medical Equipment & Medical Supplies | 106 W Winchester St # 50, Murray, UT 84107-7713 | 2020-11-02 |
| 1740880012 | Castle Arch, LLC | Durable Medical Equipment & Medical Supplies | 596 W 750 S # 310c, Bountiful, UT 84010-7268 | 2020-10-27 |
| 1235736059 | Uintah Basin Medical Center | Durable Medical Equipment & Medical Supplies | 625 W 500 N, Vernal, UT 84078-8319 | 2020-10-05 |
| 1700483567 | Cranio Ninja LLC | Durable Medical Equipment & Medical Supplies | 975 N Main St Ste 3a, Layton, UT 84041-2200 | 2020-10-05 |
| 1861009052 | Appy Medical, LLC | Durable Medical Equipment & Medical Supplies | 8789 South Redwood Road Bld 4, Ste 250, West Jordan, UT 84088-5748 | 2020-09-30 |
| 1942815014 | Matthew Rumsey | Durable Medical Equipment & Medical Supplies | 869 E 960 S, Salem, UT 84653-5758 | 2020-09-15 |
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1497381917 | Alpha Medical Supply & Distributing | Durable Medical Equipment & Medical Supplies | 3132 W 7670 S, West Jordan, UT 84084-2867 | 2020-03-16 |
| 1679111405 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 321 E State Rd Ste 1, American Fork, UT 84003-2275 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
| City | WOODS CROSS |
| Zip Code | 84010 |
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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.