Heide'S
LBN: Heide'S Mastectomy Services, Inc.
Heide'S is an health care organization with primary practice located at 3400 W 66Th St Suite 440, Edina MN 55435-2111. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Heide'S Mastectomy Services, Inc. can be contacted via phone (952) 925-7837, or through Heide-Wrazidlo, Kathleen Ruth via phone (952) 925-7837.
Contact Information
Primary practice address
3400 W 66Th St Suite 440
Edina MN 55435-2111
Phone: (952) 925-7837
Fax: (952) 925-1081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | N/A | Minnesota |
Profile Details
| NPI number | 1154402600 |
|---|---|
| LBN Legal business name | Heide'S Mastectomy Services, Inc. |
| DBA Doing business as | Heide'S |
| Authorized official | Heide-Wrazidlo, Kathleen Ruth CFM CFC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | May 7th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154402600 | NPPES |
| Fm | Other | 106055 | UCARE |
| Fm | Other | 15908 | UCARE |
| Fm | Other | 01006410 | UCARE |
| Fm | Other | 8211002 | UCARE |
| Fm | Other | 3299743 | UCARE |
| Fm | MEDICAID | 968563400 | UCARE |
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