Organization
RICE HOME MEDICAL, LLC
Active
Other names
Corner Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMI LEE BAGSTAD OHCC, CHCO (COMPLIANCE MANAGER)
(763) 540-6119
Entity
Organization
Contact information
Practice address
225 7TH AVE E, ALEXANDRIA, MN 56308-1831
(800) 637-7795
(320) 231-4941
Mailing address
2730 NEVADA AVE N, NEW HOPE, MN 55427-2807
(763) 535-5335
(763) 536-3590
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MN
332BC3200X
Customized Equipment (DME)
—
MN
332BN1400X
Nursing Facility Supplies (DME)
—
MN
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
MN
332BX2000X
Oxygen Equipment & Supplies (DME)
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
773325900
—
MN
Enumeration date
10/24/2007
Last updated
08/22/2024
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