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Organization

PARK NICOLLET HEALTH CARE PRODUCTS

Active
Parent organization
PARK NICOLLET HEALTH SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
PARK NICOLLET HEALTH SERVICES
Authorized official
CATHERINE F LENAGH (CFO)
(952) 993-3108
Entity
Organization

Contact information

Practice address
18432 KENRICK AVE, LAKEVILLE, MN 55044-9288
(952) 993-8800
Mailing address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4464590026
MN
Enumeration date
06/20/2011
Last updated
02/20/2025
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