Organization
ALLIANCE MEDICAL BEDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW KENETT WINTERS PHARMD (OWNER)
(608) 770-9975
Entity
Organization
Contact information
Practice address
11305 52ND AVE N, PLYMOUTH, MN 55442-1869
(608) 770-9975
Mailing address
11305 52ND AVE N, PLYMOUTH, MN 55442-1869
(608) 770-9975
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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