Organization
NORTH CENTRAL MEDICAL SUPPLY, INC.
Active
Other names
North Central Medical Supply and Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN RENEE ROGERS (PRESIDENT/CEO)
(218) 454-1539
Entity
Organization
Contact information
Practice address
13287 ISLE DR, BAXTER, MN 56425-8554
(218) 825-7331
(218) 822-3888
Mailing address
13287 ISLE DR, BAXTER, MN 56425-8554
(218) 825-7331
(218) 822-3888
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
4406370
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693818300
—
MN
Enumeration date
06/21/2005
Last updated
12/19/2022
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