NPIMap

Organization Active NPI

Midwest Medical Holdings LLC

  • Durable Medical Equipment & Medical Supplies
  • Waite Park, MN
National Provider Identifier
1144543968
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MIDWEST MEDICAL HOLDINGS LLC
Practice address
1119 2ND St S
Suite 1119
Waite Park, MN 56387-2323
Phone
(320) 258-4055
NPI assigned
Mar 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Larry Lindberg
Title
Ceo
Phone
(763) 780-0100

Specialties & licenses 1

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

Addresses

Primary practice location

1119 2ND St S
Suite 1119
Waite Park, MN 56387-2323

Mailing address

8400 Coral Sea Street NE
Mounds View, MN 55112-4398

Other names 1

  • Freedom Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Freedom Medical4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1119 2nd St S
Ste 1119
Waite Park, MN 56387
Phone (320) 258-4055

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1144543968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 CORAL SEA STREET NE",
            "city": "MOUNDS VIEW",
            "state": "MN",
            "postal_code": "551124398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 2ND ST S",
            "address_2": "SUITE 1119",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563872323",
            "telephone_number": "320-258-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-780-0100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waite Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.