Heide's Mastectomy Services Of Duluth., NPI 1851474506
Durable Medical Equipment & Medical Supplies in Duluth, MN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1851474506 |
| NPI Entity Type | Organization |
| Provider Name |
Heide's Mastectomy Services Of Duluth.
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 701 1/2 North 6th Ave. East, Duluth, MN, US |
| Provider Mailing Address | 701 1/2 North 6th Ave. East, Duluth, MN, US, 558051333 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MS. Kathleen R Wrazidlo |
| Official Position | OWNER |
| Phone | 218-722-7860 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Durable Medical Equipment & Medical Supplies |
| Classification | |
| Group | |
| License No. | N/A |
| License State | MN |
| Description | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 3833743 | MN | BCBS | 01 |
| 41166285019 | WI | BCBS | 01 |
| 60724 | MN | HEALTH PARTNERS | 01 |
| 8211003 | MN | MEDICA | 01 |
| 41665200 | WI | MEDICAID | 05 |
| 1011560 | MN | PREFERRED ONE | 01 |
| 784363100 | MN | MEDICAID | 05 |
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| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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PA-C Eliza Anderson Abraham Individual |
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DNP, CRNA Alex Ringhand Individual |
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PA-C Lisa Elizabeth Worthington Individual |
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Peyton William Lavigne Individual |
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Jennifer Rose Elmberg Individual |
225 1st St N Ste 3100b |
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DPT Linda Chai Individual |
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Renaissance Adult Day Care Inc. Organization |
3045 Coon Rapids Blvd Nw |
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RD Olivia Jacobs Individual |
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Twin Cities Anaplastology Organization |
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