Costcare Medical Store

LBN: Midland Prohealth
Costcare Medical Store is an health care organization with primary practice located at 3003 32Nd Ave S #7, Fargo ND 58103-6163. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Midland Prohealth can be contacted via phone (701) 277-1993, or through Geiger, Gerald P via phone (701) 277-1993.

Contact Information

Primary practice address
3003 32Nd Ave S #7 Fargo ND 58103-6163
Phone: (701) 277-1993
Fax: (701) 277-3192
Website:
Map and Directions
Authorized official contact:
Name: Geiger, Gerald P
Phone: (701) 277-1993

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1396774550
LBN Legal business name Midland Prohealth
DBA Doing business as Costcare Medical Store
Authorized official Geiger, Gerald P
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1396774550 NPPES
South Dakota MEDICAID 9150240
South Dakota Other 39354
South Dakota Other 45036
South Dakota Other 45036MI
South Dakota Other MHE432581
South Dakota Other 45036MI
South Dakota Other 45036MI
South Dakota Other 5603806
South Dakota MEDICAID 56385
South Dakota Other 7871
South Dakota Other 76571
South Dakota Other 8200344
South Dakota Other 70510

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