Healthcare Provider Details

I. General information

NPI: 1740375849
Provider Name (Legal Business Name): PAL MEDICAL SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 SE 10TH ST
GRAND RAPIDS MN
55744-3921
US

IV. Provider business mailing address

508 SE 10TH ST
GRAND RAPIDS MN
55744-3921
US

V. Phone/Fax

Practice location:
  • Phone: 218-326-9299
  • Fax: 218-326-8306
Mailing address:
  • Phone: 218-326-9299
  • Fax: 218-326-8306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LORRAINE GAIL GILES
Title or Position: OWNER
Credential:
Phone: 218-326-9299