Organization
CGPS, INC
Active
Other names
AFTERIMAGE
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL GOMEZ (CHIEF FINANCIAL OFFICER)
(952) 404-2895
Entity
Organization
Contact information
Practice address
801 TWELVE OAKS CENTER DR, SUITE 816A, WAYZATA, MN 55391-4601
(952) 404-2895
(952) 404-2896
Mailing address
801 TWELVE OAKS CENTER DR, SUITE 816A, WAYZATA, MN 55391-4601
(952) 404-2895
(952) 404-2896
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1029729
PREFERREDONE
MN
01
—
117037
UCARE MINNESOTA
MN
01
—
32P02AF
BLUECROSS BLUESHIELD
MN
01
—
64970
HEALTHPARTNERS
MN
01
—
8211040
MEDICA INSURANCE
MN
Enumeration date
11/17/2006
Last updated
08/28/2007
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