Park Nicollet Health Care Products

LBN: Park Nicollet Health Care Products
Park Nicollet Health Care Products is an health care organization with primary practice located at 15111 Twelve Oaks Center Dr , Minnetonka MN 55305-5201. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Eyewear Supplier (Equipment, not the service), Suppliers / Clinic Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Park Nicollet Health Care Products can be contacted via phone (952) 993-4500, or through Lenagh, Catherine F via phone (952) 993-3108.

Contact Information

Primary practice address
15111 Twelve Oaks Center Dr Minnetonka MN 55305-5201
Phone: (952) 993-4500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lenagh, Catherine F
Phone: (952) 993-3108

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X
Suppliers / Clinic Pharmacy 3336C0002X Minnesota

Profile Details

NPI number 1033171558
LBN Legal business name Park Nicollet Health Care Products
DBA Doing business as
Authorized official Lenagh, Catherine F
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Oct 2nd, 2014 - about 11 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 1033171558 NPPES
Other 2419643 NCPDP PROVIDER INDENTIFICATION NUMBER
MEDICAID 21398500 NCPDP PROVIDER INDENTIFICATION NUMBER

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