Healthcare Provider Details

I. General information

NPI: 1760942635
Provider Name (Legal Business Name): SIMPLYALERT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 12/12/2019
Certification Date: 12/12/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

586 MAPLE PARK DR
MENDOTA HEIGHTS MN
55118-1838
US

IV. Provider business mailing address

586 MAPLE PARK DR
MENDOTA HEIGHTS MN
55118-1838
US

V. Phone/Fax

Practice location:
  • Phone: 612-234-7878
  • Fax: 612-677-3377
Mailing address:
  • Phone: 612-234-7878
  • Fax: 612-677-3377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: KUE DAVID SOUNG
Title or Position: PRESIDENT
Credential:
Phone: 651-600-6685