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:
Map and Directions
Authorized official contact:
Name: Heide-Wrazidlo, Kathleen Ruth CFM CFC
Phone: (952) 925-7837

Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
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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