Organization
MIDLAND PROHEALTH
Active
Other names
CostCare Medical Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD P GEIGER (DIRECTOR)
(701) 277-1993
Entity
Organization
Contact information
Practice address
3003 32ND AVE S, #7, FARGO, ND 58103-6163
(701) 277-1993
(701) 277-3192
Mailing address
3003 32ND AVE S, #7, FARGO, ND 58103-6163
(701) 277-1993
(701) 277-3192
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39354
HEALTH PARTNERS
MN
01
—
45036
COMP CARE
—
01
—
45036MI
BLUE PLUS
MN
01
—
45036MI
CIGNA EMPLOYEE
—
01
—
5603806
MEDICAID
MT
05
—
56385
—
ND
01
—
70510
BCBS
ND
01
—
76571
HEALTH PARTNERS
MN
01
—
7871
BCBS
ND
01
—
8200344
MEDICA
MN
05
—
9150240
—
SD
01
—
MHE432581
PGA PROCARE
—
Enumeration date
07/01/2006
Last updated
08/22/2020
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