Organization
FLAD ENTERPRISES, INC
Active
Other names
Bourne Medical Service
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J FLAD (PRESIDENT)
(507) 454-1315
Entity
Organization
Contact information
Practice address
163 WALNUT ST, WINONA, MN 55987-3404
(507) 452-1313
(507) 454-5717
Mailing address
163 WALNUT ST, P O BOX 111, WINONA, MN 55987-3404
(507) 452-1313
(507) 454-5717
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4598806
MN
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01021520
PREFERRED ONE
MN
01
—
167458
UCARE
MN
05
—
41692900
—
WI
01
—
47764
HEALTH PARTNERS
MN
05
—
612220500
—
MN
01
—
6G059FL
BLUE CROSS BLUE SHEILD MN
MN
01
—
MEDICA
8200512
MN
Enumeration date
05/27/2006
Last updated
04/13/2012
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