Reliable Equipment and Medical Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RELIABLE EQUIPMENT AND MEDICAL SUPPLIES, INC

Practice address

5701 Shingle Creek Pkwy
Suite 470
Brooklyn Center, MN 55430-2467

Phone

(763) 442-5136

Fax

(763) 219-8482

NPI assigned

Mar 11, 2015

Organization subpart

No

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

Authorized official

Name

Christian Kanmue Kolleh

Title

Executive Director

Phone

(763) 440-5136

Specialties & licenses 1

Addresses

Other names 1

• N/A Other name

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1386037695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY",
            "address_2": "SUITE 470",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302467",
            "telephone_number": "763-442-5136",
            "fax_number": "763-219-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY",
            "address_2": "SUITE 470",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302467",
            "telephone_number": "763-442-5136",
            "fax_number": "763-219-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE EQUIPMENT AND MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "KOLLEH",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "KANMUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-440-5136"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Brooklyn Center, MN
• Providers in Brooklyn Center, 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 11, 2015; 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.