MEDICARE: BABY'S ON BROADWAY

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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1538635248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BABY'S ON BROADWAY

Provider Business Mailing Address
First Line	:	47 E BROADWAY
Second Line	:
City	:	LITTLE FALLS
State	:	MN
Zip	:	56345-3046
Country	:	US
Telephone Number	:	320-639-2229
Fax Number	:

Provider Business Practice Location Address
First Line	:	47 E BROADWAY
Second Line	:
City	:	LITTLE FALLS
State	:	MN
Zip	:	56345-3046
Country	:	US
Telephone Number	:	320-639-2229
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ADELLE CHISHOLM
Credential	:
Telephone Number	:	612-296-0883

Provider Enumeration Date	:	10/19/2018
Last Update Date	:	06/16/2020

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1902920788 — THERESA HEIDGERKEN LICSW
Practice Location Address:

43 E BROADWAY , SUITE 102
LITTLE FALLS, MN
56345-3046

Practice Phone: 320-631-0007
Practice Fax: 320-631-0007

1407661853 — CORNER MEDICAL LLC
Practice Location Address:

47 E BROADWAY
LITTLE FALLS, MN
56345-3046

Practice Phone: 320-412-5650
Practice Fax: 320-635-5298

1629340047 — GEORGIA ABNER OTR/L
Practice Location Address:

6007 MANDAN RD
LITTLE ROCK, AR
72210-3046

Practice Phone: 501-412-6769
Practice Fax:

1982755963 — DR. DARIN JOHN BRYDGES DC
Practice Location Address:

3046 NIAGARA FALLS BLVD
NORTH TONAWANDA, NY
14120-1116

Practice Phone: 716-695-5767
Practice Fax: 716-695-5768

1750643342 — AMY ANNE SCOTT BS MS ED
Practice Location Address:

1814 MICHIGAN AVE
NIAGARA FALLS, NY
14305-3046

Practice Phone: 716-297-0798
Practice Fax: 716-297-0998

Directions to “BABY'S ON BROADWAY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.