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NPI Code Detail

MEDICARE: CARE MEDICAL SUPPLY INC

MEDICARE: CARE MEDICAL SUPPLY INC
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
1110492OTHERUCARE
28200123OTHERMEDICA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
413747CAOTHERBLUE CROSS BLUE SHIELD
51010935OTHERPREFERREDONE
621482OTHERHEALTH PARTNERS

General Provider Information

NPI Number : 1932108453
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE MEDICAL SUPPLY INC
Provider Business Mailing Address
First Line : 1000 S BENTON DR
Second Line : SUITE 418
City : SAUK RAPIDS
State : MN
Zip : 56379-1227
Country : US
Telephone Number : 320-251-8261
Fax Number : 320-251-7023
Provider Business Practice Location Address
First Line : 1000 S BENTON DR
Second Line : SUITE 418
City : SAUK RAPIDS
State : MN
Zip : 56379-1227
Country : US
Telephone Number : 320-251-8261
Fax Number : 320-251-7023
Authorized Official
Title or Position : C.E.O.
Name : TONJA LEA JOHNSON
Credential :
Telephone Number : 320-251-8261
Provider Enumeration Date : 07/18/2005
Last Update Date : 04/27/2023

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Directions to “CARE MEDICAL SUPPLY INC ” Practice Location

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