Centracare Medical Supply LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Redwood Falls, MN

NPI 1013510171 · NPPES record last updated Nov 19, 2020

Key facts

NPI
1013510171
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
CENTRACARE MEDICAL SUPPLY LLC
Practice address
1020 E Bridge St
Redwood Falls, MN 56283-1806
Phone
(507) 637-2330
NPI assigned
Nov 19, 2020
Organization subpart
Yes
Parent organization (as reported)
CENTRACARE MEDICAL SUPPLY LLC

Authorized official

Name
Michael A Blair
Title
Sr VP & Cfo
Phone
(320) 255-5665

Corporate family (same tax ID) 3

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

National Provider Directory

Tax ID family
Centracare Medical Supply LLC (4 organizations share this tax ID)
Part of
Centracare Medical Supply LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

1020 E Bridge St
Redwood Falls, MN 56283-1806

Mailing address

1200 6TH Ave N
Saint Cloud, MN 56303-2736
Phone (320) 251-2700

Other names

  • Rice Home Medical LLC DME - Redwood Falls Doing business as

Other providers in Redwood Falls, MN

All providers in Redwood Falls, MN · Durable Medical Equipment & Medical Supplies in Minnesota

Sources for this page

Verify at the official NPI Registry.