Organization
CORNER MEDICAL LLC
Active
Other names
Corner Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMI LEE BAGSTAD OHCC, CHCO (COMPLIANCE OFFICER)
(763) 540-6119
Entity
Organization
Contact information
Practice address
4418 HAINES RD STE 1200, DULUTH, MN 55811-1525
(218) 722-3420
(218) 720-6158
Mailing address
2730 NEVADA AVE N, NEW HOPE, MN 55427-2807
(763) 535-5335
(763) 536-3590
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
11/02/2022
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