MEDICARE: SIMPLYALERT INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333300000X	Emergency Response System Companies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6121600	OTHER	MN	MN DEPARTMENT OF REVENUE

General Provider Information

NPI Number	:	1760942635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMPLYALERT INC.

Provider Business Mailing Address
First Line	:	586 MAPLE PARK DR
Second Line	:
City	:	MENDOTA HEIGHTS
State	:	MN
Zip	:	55118-1838
Country	:	US
Telephone Number	:	612-234-7878
Fax Number	:	612-677-3377

Provider Business Practice Location Address
First Line	:	586 MAPLE PARK DR
Second Line	:
City	:	MENDOTA HEIGHTS
State	:	MN
Zip	:	55118-1838
Country	:	US
Telephone Number	:	612-234-7878
Fax Number	:	612-677-3377

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KUE DAVID SOUNG
Credential	:
Telephone Number	:	651-600-6685

Provider Enumeration Date	:	03/25/2019
Last Update Date	:	12/12/2019

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Directions to “SIMPLYALERT INC. ” Practice Location

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