Organization
PAL MEDICAL SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE GAIL GILES (OWNER)
(218) 326-9299
Entity
Organization
Contact information
Practice address
508 SE 10TH ST, GRAND RAPIDS, MN 55744-3921
(218) 326-9299
(218) 326-8306
Mailing address
508 SE 10TH ST, GRAND RAPIDS, MN 55744-3921
(218) 326-9299
(218) 326-8306
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060223002
PRIME WEST
MN
01
—
30B98PA
BLUE CROSS BLUE SHIELD
MN
05
—
496016500
—
MN
01
—
8250355
MEDICA
MN
05
—
82745700
—
WI
Enumeration date
10/04/2006
Last updated
08/05/2009
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