Reliable Medical Supply Llc
LBN: Reliable Medical Supply Llc
Reliable Medical Supply Llc is an health care organization with primary practice located at 9495 Winnetka Ave N Ste 200 , Brooklyn Park MN 55445-1618. 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 (763) 255-3800, or through Russell, Kiley Ann via phone (629) 252-8211.
Contact Information
Primary practice address
9495 Winnetka Ave N Ste 200
Brooklyn Park MN 55445-1618
Phone: (763) 255-3800
Fax: (763) 255-3900
Website:
Health care specialties
| Specialty | Code | License # | 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 | 1710984869 |
|---|---|
| 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 | Jul 5th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710984869 | NPPES |
| Wisconsin | MEDICAID | 41656500 | |
| Wisconsin | MEDICAID | 0990390 | |
| Wisconsin | Other | 105239 | |
| Wisconsin | Other | 1030555 | |
| Wisconsin | Other | 8214389 | |
| Wisconsin | Other | 8200081 | |
| Wisconsin | Other | 765357 | |
| Wisconsin | Other | 8214389 | |
| Wisconsin | Other | 3184 | |
| Wisconsin | Other | 60677RE | |
| Wisconsin | MEDICAID | 915363200 |
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