Healthnorth Medical Supply Company

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HEALTHNORTH MEDICAL SUPPLY COMPANY

Practice address

165 19TH St S
Suite 104
Sartell, MN 56377-4773

Phone

(320) 281-5311

Fax

(320) 281-5318

NPI assigned

Oct 22, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jay Adam Johnson

Title

Ceo

Phone

(320) 260-5280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1144520297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 19TH ST S",
            "address_2": "SUITE 104",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774773",
            "telephone_number": "320-281-5311",
            "fax_number": "320-281-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 19TH ST S",
            "address_2": "SUITE 104",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774773",
            "telephone_number": "320-281-5311",
            "fax_number": "320-281-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHNORTH MEDICAL SUPPLY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-260-5280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fadumo Omar Hassan
• Salma Hassan
• Natalie Hassett
• Madyson Rae Haugerud
• Christina Haux
• Tiffany Lee Hechtel
• Dena Geeta Heen, LRD
• Ashley Heine
• Michelle Joann Heinen
• Held Enterprises of Greater St Cloud, Inc (Great Steps Orthotic & Prosthetic Solutions)

• Durable Medical Equipment & Medical Supplies in Sartell, MN
• Providers in Sartell, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.