MEDICARE: AFFINITY MEDICAL SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1215755038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFINITY MEDICAL SERVICES INC

Provider Business Mailing Address
First Line	:	9900 13TH AVE N STE 210H
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55441-5071
Country	:	US
Telephone Number	:	800-779-5479
Fax Number	:

Provider Business Practice Location Address
First Line	:	9900 13TH AVE N STE 210H
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55441-5071
Country	:	US
Telephone Number	:	800-779-5479
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	ABSHIR MOHAMUD
Credential	:
Telephone Number	:	800-779-5479

Provider Enumeration Date	:	10/01/2024
Last Update Date	:	05/25/2026

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Directions to “AFFINITY MEDICAL SERVICES INC ” Practice Location

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