Organization
BEMIDJI MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR A HAGSTROM (CHIEF FINANCIAL OFFICER)
(218) 333-5508
Entity
Organization
Contact information
Practice address
3503 PINE RIDGE AVE NW, BEMIDJI, MN 56601
(218) 751-8036
(218) 751-9728
Mailing address
3503 PINE RIDGE AVE NW, BEMIDJI, MN 56601
(218) 751-8036
(218) 751-9728
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1049138
PREFERRED ONE
—
01
—
8200694
MEDICA
—
01
—
83365BE
BCBS
MN
Enumeration date
03/29/2007
Last updated
08/07/2007
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