Organization
KEY MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY L STRODA (3RD PARTY CONTRACTS MANAGER)
(651) 792-3860
Entity
Organization
Contact information
Practice address
532 APOLLO DR, SUITE 10, LINO LAKES, MN 55014-3031
(651) 792-3860
(651) 203-0210
Mailing address
532 APOLLO DR, SUITE 10, LINO LAKES, MN 55014-3031
(651) 792-3860
(651) 203-0210
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129734
UCARE
MN
01
—
12D54KE
BLUE CROSS BLUE SHIELD
MN
01
—
72869
HEALTH PARTNERS
MN
01
—
8214599
MEDICA
MN
01
—
87726
UNITED HEALTH CARE
MN
Enumeration date
10/27/2006
Last updated
08/22/2020
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