DRYTECH CO. LLC (NPI# 1811356306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811356306 |
| Entity Type | Organization |
| Organization Name | DRYTECH CO. LLC |
| Practice Address |
13483 Fenway Blvd Circle No. Hugo MN 55038 |
| Practice Telephone | 6514298444 |
| Practice Fax Number | 6514298451 |
| Mailing Telephone | 6514298444 |
| Mailing Fax Number | 6514298451 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | MR. PAUL GEORGE PEDERSON (CEO) |
| Authorized Official Telephone | 6514298444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers | ||
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
13483 FENWAY BLVD CIRCLE NO. |
| City | HUGO |
| State | MN |
| Zip Code | 55038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948093 | Shanasi Mason | Counselor | 7041 20th Ave S, Centerville, MN 55038 | 2016-08-28 |
| 1982052601 | Patricia Morgan-john | Counselor | 1784 Steven Lane, Centerville, MN 55038 | 2016-06-03 |
| 1750748422 | Lisa Chong Jou | Counselor | 7041 20th Avenue South, Centerville, MN 55038 | 2016-01-26 |
| 1285997577 | William Michael Beeves | Counselor | 7041 20th Avenue S, Centerville, MN 55038 | 2012-06-21 |
| 1720230089 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 14688 Everton Ave., Suite 101, Hugo, MN 55038 | 2008-10-17 |
| 1881868669 | Prili D Gandhi | Family Medicine | 14688 Everton Ave, He Hugo Clinic, Hugo, MN 55038 | 2008-04-14 |
| 1437276763 | Northeast Eye Care of Hugo | Optometrist | 14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 | 2007-03-23 |
| 1134284631 | Hugo Dental Care Pa | Dentist | 5677 147th St N, Hugo, MN 55038 | 2006-12-26 |
| 1023172657 | Sean Patrick Bates | Dentist | 14755 Victor Hugo Blvd, Suite 103, Hugo, MN 55038 | 2006-12-20 |
| 1417027426 | George Howard Lindy | Dentist | 14475 Forest Blvd N, Hugo, MN 55038 | 2006-11-08 |
| Find all providers in zip 55038 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534730 | Linda Kellee Erickson | Contractor | 3810 Rum River Dr, Anoka, MN 55303-1103 | 2020-10-07 |
| 1235742115 | Berger Built Construction Co. Inc. | Contractor | 217 Maple Street, Mahtomedi, MN 55115 | 2020-08-28 |
| 1225641426 | Ibrahim Mohamud | Contractor | 1906 Clinton Ave Apt 105, Minneapolis, MN 55404-2752 | 2020-08-26 |
| 1669092003 | Jms Custom Homes, LLC | Contractor | 6035 Culligan Way, Minnetonka, MN 55345-5918 | 2020-04-24 |
| 1295366029 | Randall Jay Sampson | Contractor | 24668 Hamlet Ave, Forest Lake, MN 55025-8781 | 2020-01-30 |
| 1730710401 | Ashley Schaefer | Contractor | 36073 Dolphin St Nw, Princeton, MN 55371-5274 | 2020-01-30 |
| 1710536123 | Gavin Quinn | Contractor | 11519 Arnold Palmer Dr, Blaine, MN 55449-5490 | 2019-09-09 |
| 1306490917 | Rosie Walker | Contractor | 1875 Dell St, White Bear Lake, MN 55110-5365 | 2019-07-31 |
| 1265096374 | Brett Tupy | Contractor | 7548 236th St E, Lakeville, MN 55044-9813 | 2019-04-24 |
| 1770045072 | Regina Kristine Toensing | Contractor | 6270 141st Ln Nw, Ramsey, MN 55303-5686 | 2019-04-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DRYTECH CO. LLC.
| 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.