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Organization

ANCHOR MEDICAL LLC

Active
Other names
AITKIN MEDICAL SUPPLY
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE CARLSON (GENERAL MANAGER)
(218) 927-3113
Entity
Organization

Contact information

Practice address
1118 AIR PARK DR, AITKIN, MN 56431-5626
(218) 927-3113
(218) 927-6130
Mailing address
1118 AIR PARK DR, AITKIN, MN 56431-5626
(218) 927-3113
(218) 927-6130

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
1049902
PREFERRED ONE
MN
01
122067
UCARE
MN
01
1G707AI
BLUE CROSS BLUE SHIELD
MN
05
210903000
MN
01
5868290001
MEDICARE NGS
MN
01
5868290001
MEDICARE ID- TYPE UNSPECIFIED
01
82-14519
MEDICA
MN
Enumeration date
07/28/2005
Last updated
01/18/2021
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