Organization
PARK NICOLLET HEALTH CARE PRODUCTS
Active
Organization
PARK NICOLLET HEALTH CARE PRODUCTS
Active
Parent organization
PARK NICOLLET HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARK NICOLLET HEALTH SERVICES
Authorized official
CATHERINE F LENAGH (CFO)
(952) 993-3108
Entity
Organization
Contact information
Practice address
4670 PARK NICOLLET AVE SE, PRIOR LAKE, MN 55372-4119
(952) 993-7750
Mailing address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/24/2009
Last updated
10/02/2014
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