INFINITE HEALTH COLLABORATIVE, PA (NPI# 1740668102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740668102 |
Entity Type | Organization |
Organization Name | INFINITE HEALTH COLLABORATIVE, PA |
Practice Address |
1655 Beam Ave Suite 308 Maplewood MN 55109-1163 |
Mailing Address |
4200 Dahlberg Dr Suite 300 Golden Valley MN 55422-4840 |
Practice Telephone | 6512398807 |
Practice Fax Number | 6514390232 |
Mailing Telephone | 9525125600 |
Mailing Fax Number | 9525125651 |
Enumeration Date | 2015-05-18 |
Last Update Date | 2019-10-08 |
Authorized Official Name | TROY R SIMONSON (CEO) |
Authorized Official Telephone | 9525125639 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306226576 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1715 Tower Dr W, Suite 100, Stillwater, MN 55082-7583 | 2015-06-03 |
1568840916 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 411 Stageline Rd, Suite 100, Hudson, WI 54016-7848 | 2015-05-18 |
1407249477 | Infinite Health Collaborative, Pa | Exclusive Provider Organization | 6754 Valley View Rd, Edina, MN 55439-1761 | 2015-03-14 |
1619051422 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 12982 Valley View Rd, Eden Prairie, MN 55344-3657 | 2006-10-25 |
1497837249 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 4570 Churchill St, Suite 300, Shoreview, MN 55126-2222 | 2006-10-20 |
1164474250 | Infinite Health Collaborative, Pa | Family Medicine | 4200 Dahlberg Dr, Suite 300, Golden Valley, MN 55422-4840 | 2006-05-17 |
1568098226 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1830 Hanley Rd, Hudson, WI 54016-9368 | 2020-03-13 |
1265937213 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 11225 Ulysses St Ne, Blaine, MN 55434-4261 | 2018-03-29 |
1629576467 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2018-01-26 |
1730554098 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 310 Smith Ave N, Suite 330, Saint Paul, MN 55102-2393 | 2015-12-11 |
Street Address |
1655 BEAM AVE SUITE 308 |
City | MAPLEWOOD |
State | MN |
Zip Code | 55109-1163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942297171 | Robert Adams Gaertner | Urology | 1655 Beam Ave, Suite 206, Maplewood, MN 55109-1163 | 2005-10-03 |
1679028617 | Alicia Luftman | Dietitian, Registered | 1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 | 2016-08-19 |
1770900797 | Allergy and Asthma Center of Minnesota Pllc | Allergy & Immunology | 1655 Beam Ave, Suite 108, Maplewood, MN 55109-1163 | 2014-03-27 |
1871858639 | Ashley Marie Zilles | Surgery | 1655 Beam Ave, Maplewood, MN 55109-1163 | 2012-07-09 |
1700163474 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 1655 Beam Ave, Ste. 308, Maplewood, MN 55109-1163 | 2011-11-09 |
1114200508 | Ryan P Tully | Physical Therapist | 1655 Beam Ave, Maplewood, MN 55109-1163 | 2011-09-22 |
1477854404 | Kaitlin Ileen Thompson | Dietitian, Registered | 1655 Beam Ave, #330, Maplewood, MN 55109-1163 | 2010-11-08 |
1730416959 | Lindsey Kay Syverson | Dietitian, Registered | 1655 Beam Ave, #302, Maplewood, MN 55109-1163 | 2009-11-09 |
1295977395 | Pediatric and Young Adult Medicine, Pa | Clinic/Center | 1655 Beam Ave, Suite 108, Maplewood, MN 55109-1163 | 2009-04-03 |
1326293606 | Hearing Unlimited Lc | Hearing Aid Equipment | 1655 Beam Ave, Suite 101, Maplewood, MN 55109-1163 | 2008-11-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
Find all providers in zip 55109 |
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 |
---|---|---|---|---|
1215323589 | Corner Medical LLC | Durable Medical Equipment & Medical Supplies | 1868 Beam Ave, Maplewood, MN 55109-1162 | 2015-04-13 |
1861888299 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 453 Valley St, Maplewood, NJ 07040-1330 | 2015-04-13 |
1306194220 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7470 Manchester Rd, Maplewood, MO 63143-3032 | 2012-08-27 |
1598900631 | Osha Data/cih, Inc. | Durable Medical Equipment & Medical Supplies | 12 Hoffman St, Maplewood, NJ 07040-1114 | 2008-12-03 |
1336305713 | Edi | Durable Medical Equipment & Medical Supplies | 36 Newark Way, Suite 202, Maplewood, NJ 07040-3310 | 2008-08-05 |
1356519268 | Liberty Oxygen and Home Care, Inc | Durable Medical Equipment & Medical Supplies | 1715-d Beam Avenue, Maplewood, MN 55109 | 2008-02-13 |
1457533143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2920 White Bear Ave N, Maplewood, MN 55109 | 2007-12-04 |
1023123163 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 2390 White Bear Ave N, Maplewood, MN 55109 | 2006-08-20 |
1730109588 | Nextra Health, Inc. | Durable Medical Equipment & Medical Supplies | 10 Sunnen Dr, Ste 100, Maplewood, MO 63143-3838 | 2006-07-21 |
1043237373 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 2100 Maplewood Commons Dr, Maplewood, MO 63143-1015 | 2006-07-16 |
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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.