Organization Active NPI

Geacom, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Duluth, MN
National Provider Identifier
1316556434
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GEACOM, INC.
Practice address
1502 London Rd Ste 220
Duluth, MN 55812-1628
Phone
(855) 543-2266
NPI assigned
Jul 24, 2020
Last updated
Apr 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Mathew Martin King Johnson
Title
Ceo/Founder
Phone
(612) 801-4542

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1502 London Rd Ste 220
Duluth, MN 55812-1628

Mailing address

1502 London Rd
Duluth, MN 55812-1788

National Provider Directory

National Provider Directory

Locations

1502 London Rd
Duluth, MN 55812
Phone (218) 576-0100

1502 London Rd
Ste 220
Duluth, MN 55812
Phone (218) 740-4700

394 S Lake Ave
Ste 700
Duluth, MN 55802

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1316556434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 LONDON RD STE 220",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121628",
            "telephone_number": "855-543-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEACOM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "MARTIN KING",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "612-801-4542"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.