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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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