Reliable Medical Supply Llc

LBN: Reliable Medical Supply Llc
Reliable Medical Supply Llc is an health care organization with primary practice located at 440 Great Oak Dr , Waite Park MN 56387-2505. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Reliable Medical Supply Llc can be contacted via phone (320) 259-5900, or through Russell, Kiley Ann via phone (629) 252-8211.

Contact Information

Primary practice address
440 Great Oak Dr Waite Park MN 56387-2505
Phone: (320) 259-5900
Fax: (320) 259-5901
Website:
Map and Directions
Authorized official contact:
Name: Russell, Kiley Ann
Phone: (629) 252-8211

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Oxygen Equipment & Supplies 332BX2000X

Profile Details

NPI number 1093782609
LBN Legal business name Reliable Medical Supply Llc
DBA Doing business as
Authorized official Russell, Kiley Ann
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2006
Last updated Apr 17th, 2024 - about last year

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 1093782609 NPPES
Minnesota Other 8200081 MEDICA PRIMARY
Minnesota Other 8214389 MEDICA PRIMARY
Minnesota Other 1030555 MEDICA PRIMARY
Minnesota Other 3184 MEDICA PRIMARY
Minnesota Other 60677RE MEDICA PRIMARY
Minnesota Other 765357 MEDICA PRIMARY
Minnesota Other 8214389 MEDICA PRIMARY
Minnesota MEDICAID 915363200 MEDICA PRIMARY
Minnesota MEDICAID 41656500 MEDICA PRIMARY
Minnesota MEDICAID 0990390 MEDICA PRIMARY
Minnesota Other 105239 MEDICA PRIMARY

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