Organization
MINIMED DISTRIBUTION CORP.
Active
Parent organization
MEDTRONIC MINIMED
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDTRONIC MINIMED
Authorized official
JESSICA PUATHASNANON (CHIEF COUNSEL)
(804) 550-2017
Entity
Organization
Contact information
Practice address
1800 PYRAMID PL, MEMPHIS, TN 38132-1703
(800) 646-4633
(818) 739-4414
Mailing address
18000 DEVONSHIRE ST, ATTN: ANGELA WARD - LEGAL DEPT, NORTHRIDGE, CA 91325-1219
(800) 933-3322
(818) 576-6228
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
611
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137682716
—
AR
05
—
1454129
—
TN
Enumeration date
09/06/2007
Last updated
01/09/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up