Organization
CORNER MEDICAL LLC
Active
Other names
Corner Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMI LEE BAGSTAD OHCC, CHCO (COMPLIANCE MANAGER)
(763) 540-6119
Entity
Organization
Contact information
Practice address
4350 S WASHINGTON ST STE 104, GRAND FORKS, ND 58201-7184
(701) 780-2500
(701) 780-1643
Mailing address
2730 NEVADA AVE N, NEW HOPE, MN 55427-2807
(763) 535-5335
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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