Organization
OXYGEN, RESPIRATORY & MEDICAL EQUIP, INC
Active
Other names
Diabetic and Comfort Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARIE LEE HARRIS C. PEDORTHIST (PRESIDENT)
(218) 625-2095
Entity
Organization
Contact information
Practice address
102 E CENTRAL ENTRANCE, SUITE 4, DULUTH, MN 55811-5569
(218) 625-2095
(218) 625-2096
Mailing address
102 E CENTRAL ENTRANCE, SUITE 4, DULUTH, MN 55811-5569
(218) 625-2095
(218) 625-2096
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
9584
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1049253
PREFERRED ONE
MN
01
—
170641
UCARE OF MINNESOTA
MN
05
—
365414100
—
MN
05
—
41725300
—
WI
01
—
57S00DI
BLUECROSS BLUESHIELD
MN
01
—
82-00304
MEDICA
MN
01
—
93649
HEALTHPARTNERS
MN
Enumeration date
06/27/2005
Last updated
04/29/2008
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