Organization
POWER CHAIRS AND SCOOTER STORE MEDICAL SUPPLY LLC
Active
Other names
Forest Lake Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL ROBERT ERICKSON (OWNER)
(651) 982-0002
Entity
Organization
Contact information
Practice address
255 HIGHWAY 97, 7B, FOREST LAKE, MN 55025-2697
(651) 982-0002
(651) 982-0030
Mailing address
255 HIGHWAY 97, 7B, FOREST LAKE, MN 55025-2697
(651) 982-0002
(651) 982-0030
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447560057
—
MN
Enumeration date
10/15/2010
Last updated
10/20/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us