Organization
CENTRACARE MEDICAL SUPPLY LLC
Active
Parent organization
CENTRACARE MEDICAL SUPPLY LLC
Other names
Rice Home Medical LLC DME - Redwood Falls
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRACARE MEDICAL SUPPLY LLC
Authorized official
MICHAEL A BLAIR (SR VP & CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
1020 E BRIDGE ST, REDWOOD FALLS, MN 56283-1806
(507) 637-2330
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2736
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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