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NPI Code Detail

MEDICARE: INDEPENDENT MEDICAL SUPPLY L.L.C

MEDICARE: INDEPENDENT MEDICAL SUPPLY L.L.C
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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275025447
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDEPENDENT MEDICAL SUPPLY L.L.C
Provider Business Mailing Address
First Line : 2924 ANTHONY LN STE 105
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55418-3280
Country : US
Telephone Number : 763-447-5303
Fax Number : 763-374-7078
Provider Business Practice Location Address
First Line : 941 HILLWIND RD NE STE 302
Second Line :
City : FRIDLEY
State : MN
Zip : 55432-5965
Country : US
Telephone Number : 763-447-5303
Fax Number : 763-374-7078
Authorized Official
Title or Position : OWNER
Name : FARHIYA M GELLE
Credential :
Telephone Number : 764-447-5303
Provider Enumeration Date : 06/04/2018
Last Update Date : 03/11/2025

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Directions to “INDEPENDENT MEDICAL SUPPLY L.L.C ” Practice Location

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