Midland Pro Health, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIDLAND PRO HEALTH, INC

Practice address

3301 30TH Ave S
Grand Forks, ND 58201-6032

Phone

(701) 757-4801

Fax

(701) 757-4801

NPI assigned

Jan 8, 2009

Organization subpart

No

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

Authorized official

Name

Rex Carlson

Title

Secretary/Treasurer

Phone

(701) 356-5729

Specialties & licenses 1

Addresses

Other names 1

• Grand Forks CPAP Store Doing business as

Tax ID family

Costcare Medical Store2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Midland Prohealth

  • Durable Medical Equipment & Medical Supplies
  • Fargo, ND
  • NPI 1396774550
  NPD tax ID

Locations

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1235376641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 30TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016032",
            "telephone_number": "701-757-4801",
            "fax_number": "701-757-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 30TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016032",
            "telephone_number": "701-757-4801",
            "fax_number": "701-757-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND PRO HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "701-356-5729"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Forks CPAP Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dillon Meyer, PHARMD
• Elizabeth I Meyer, LCSW, LAC
• Lana Jo Meyer, FNP-C
• Sarah Elisabeth Meyers, MD
• Katya Mickelson, MA
• Midwest Chiropractic PA
• Midwest Gastroenterology PC
• Midwest Neuropsychology, PLLC
• Midwest Vision Centers, Inc.
• Milos Mihajlovic, MD

• Durable Medical Equipment & Medical Supplies in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Durable Medical Equipment & Medical Supplies in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.