NPIMap

Organization Active NPI

Corner Medical LLC

  • Oxygen Equipment & Supplies (DME)
  • Cambridge, MN
National Provider Identifier
1003694845
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
CORNER MEDICAL LLC
Practice address
124 Emerson St N
Cambridge, MN 55008-1300
Phone
(866) 535-5335
Fax
(763) 536-3590
NPI assigned
Sep 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammi Lee Bagstad
Title
Compliance Officer
Phone
(763) 540-6119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

124 Emerson St N
Cambridge, MN 55008-1300

Mailing address

2730 Nevada Ave N
New Hope, MN 55427-2807
Phone (763) 535-5335

Other names 1

  • Corner Home Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240111002609 MN DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 0143435271 Practice locations: Cambridge, MN

Other NPIs with the same Medicare PAC ID 17

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 17

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Corner Home Medical124 Emerson St N, Cambridge, MN 55008-1300(866) 535-5335 Commodes, Urinals, Bedpans|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Ultraviolet Light Devices and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scoo… Does not accept assignmentParticipating since Mar 4, 2003

National Provider Directory

National Provider Directory
Tax ID family
Corner Medical LLC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1003694845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 NEVADA AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554272807",
            "telephone_number": "763-535-5335",
            "fax_number": "763-536-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 EMERSON ST N",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081300",
            "telephone_number": "866-535-5335",
            "fax_number": "763-536-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "BAGSTAD",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "763-540-6119"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.