Organization
APA MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY SHELTON (OWNER)
(612) 767-2687
Entity
Organization
Contact information
Practice address
3115 E 38TH ST, MINNEAPOLIS, MN 55406-3214
(612) 721-6357
(612) 729-5631
Mailing address
3115 E 38TH ST, MINNEAPOLIS, MN 55406-3214
(612) 721-6357
(612) 729-5631
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00578AP
BC/BS PROVIDER #
MN
01
—
110319
UCARE PROVIDER #
MN
05
—
390263300
—
MN
01
—
5891
HEALTH PARTNERS ID #
MN
01
—
82-00745
MEDICA PROVIDER #
MN
Enumeration date
10/24/2006
Last updated
01/05/2024
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