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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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