Premium Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PREMIUM MEDICAL SUPPLY LLC

Practice address

26 6TH Ave N
Suite 370
Saint Cloud, MN 56303-4558

Phone

(320) 257-0066

Fax

(320) 257-0099

NPI assigned

Oct 9, 2012

Last updated

Oct 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trent John FrahmNPI 1528310489

Title

Owner

Phone

(320) 257-0066

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trent John Frahm

  • Durable Medical Equipment & Medical Supplies
  • Saint Cloud, MN
  • NPI 1528310489
  NPD (past) Authorized official

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1326390881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 6TH AVE N",
            "address_2": "SUITE 370",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034558",
            "telephone_number": "320-257-0066",
            "fax_number": "320-257-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 6TH AVE N",
            "address_2": "SUITE 370",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034558",
            "telephone_number": "320-257-0066",
            "fax_number": "320-257-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "FRAHM",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-257-0066"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Prebeck, PA-C
• Danielle Precord
• Pregnancy Resource Center
• Annie Preisler, PHARMD
• Premise Health of Minnesota Medical PC (Be Well Health Center-St Cloud)
• James Stanley Prijatel, MS
• Rebecca Sue Prill
• Prime Choice LLC
• Prime Home Healthcare Inc
• Prime Medical Solution Inc

• Durable Medical Equipment & Medical Supplies in Saint Cloud, MN
• Providers in Saint Cloud, 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 Oct 9, 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.