Organization
GEACOM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW MARTIN KING JOHNSON (CEO/FOUNDER)
(612) 801-4542
Entity
Organization
Contact information
Practice address
1502 LONDON RD STE 220, DULUTH, MN 55812-1628
(855) 543-2266
Mailing address
1502 LONDON RD, DULUTH, MN 55812-1788
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
04/19/2022
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