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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
5465 MOUNTAIN IRON DR, VIRGINIA, MN 55792-3372
(218) 741-0001
(218) 216-1912
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
07/22/2025
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