# CORNER MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corner Home Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124755889
- **Authorized official:** TAMMI LEE BAGSTAD OHCC, CHCO (COMPLIANCE OFFICER)
- **Authorized official phone:** (763) 540-6119

## Contact information

- **Practice address:** 4418 HAINES RD STE 1200, DULUTH, MN 55811-1525
- **Practice address phone:** (218) 722-3420
- **Practice address fax:** (218) 720-6158
- **Mailing address:** 2730 NEVADA AVE N, NEW HOPE, MN 55427-2807
- **Mailing address phone:** (763) 535-5335
- **Mailing address fax:** (763) 536-3590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 08/03/2022
- **Last updated:** 11/02/2022