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 3931 Louisiana Ave S , St Louis Park MN 55426-4375. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Park Nicollet Health Care Products can be contacted via phone (952) 993-3121, or through Lenagh, Catherine F via phone (952) 993-3108.

Contact Information

Primary practice address
3931 Louisiana Ave S St Louis Park MN 55426-4375
Fax:
Website:
Authorized official contact:
Name: Lenagh, Catherine F

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X Minnesota

Profile Details

NPI number 1992768899
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 11th, 2006
Last updated Oct 2nd, 2014 - about 10 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 1992768899 NPPES
Other 2418691 NCPDP PROVIDER INDENTIFICATION NUMBER
MEDICAID 339084500 NCPDP PROVIDER INDENTIFICATION NUMBER

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