Organization
KEY MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE A ANDERSON (CEO/OWNER)
(651) 792-3860
Entity
Organization
Contact information
Practice address
5910 RICE CREEK PKWY, SUITE 1000, SHOREVIEW, MN 55126-5025
(651) 792-3860
(651) 789-8240
Mailing address
5910 RICE CREEK PKWY, SUITE 1000, SHOREVIEW, MN 55126-5025
(651) 792-3860
(651) 789-8240
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030726015
PRIMEWEST
MN
01
—
030726015
METROPOLITIAN HEALTH PLAN
—
05
—
0522151
—
IA
01
—
129734
UCARE
MN
01
—
12D54KE
BLUE CROSS BLUE SHIELD
MN
05
—
339313500
—
MN
05
—
41571600
—
WI
01
—
72869
HEALTH PARTNERS
MN
01
—
8214599
MEDICA
MN
01
—
87726
UNITED HEALTH CARE
MN
Enumeration date
07/01/2006
Last updated
10/31/2013
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