Organization
ANCHOR MEDICAL LLC
Active
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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