Organization
MILK MOMS, INC
Active
Organization
MILK MOMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER JO HEGNA (OWNER)
(763) 413-0129
Entity
Organization
Contact information
Practice address
13783 IBIS ST NW STE 200, ANDOVER, MN 55304-7649
(763) 413-0129
(763) 413-9741
Mailing address
13783 IBIS ST NW STE 200, ANDOVER, MN 55304-7649
(763) 413-0129
(763) 413-9741
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040122005
PRIME WEST PROVIDER ID
MN
01
—
160797
UCARE PROVIDER ID
MN
01
—
367601300
MN DHS PROVIDER ID
MN
01
—
56P99MI
BC BS PROVIDER ID
MN
01
—
8200265
MEDICA PROVIDER ID
MN
01
—
92729
HEALTH PARTNERS
MN
Enumeration date
03/20/2007
Last updated
12/03/2020
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