Active NPI
Degen Berglund Inc
- Oxygen Equipment & Supplies (DME)
- La Crosse, WI
National Provider Identifier
1437104064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- DEGEN BERGLUND INC
- Doing business as
- DEGEN BERGLUND SHELBY
- Practice address
- 4000 Mormon Coulee Rd
La Crosse, WI 54601-7902 - Phone
- (608) 775-8500
- Fax
- (608) 775-8555
- NPI assigned
- May 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jon Bingol
- Title
- Director
- Phone
- (608) 775-8500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
4000 Mormon Coulee Rd
La Crosse, WI 54601-7902
Mailing address
4000 Mormon Coulee Rd
La Crosse, WI 54601-7902
Phone (608) 775-8500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41704200 | Medicaid | WI | |
| 940215200 | Medicaid | MN | |
| 0764092 | Medicaid | IA |
Other names 1
- DEGEN BERGLUND SHELBY
National Provider Directory
National Provider DirectoryLocations
1609 Losey Blvd S
La Crosse, WI 54601
Phone (608) 775-8585
4000 Mormon Coulee Rd
La Crosse, WI 54601
Phone (608) 775-8500
111 Sand Lake Rd
Onalaska, WI 54650
Phone (608) 775-8582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400025600000",
"number": "1437104064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 MORMON COULEE RD",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546017902",
"telephone_number": "608-775-8500",
"fax_number": "608-775-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 MORMON COULEE RD",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546017902",
"telephone_number": "608-775-8500",
"fax_number": "608-775-8555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEGEN BERGLUND INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2014-05-14",
"status": "A",
"authorized_official_last_name": "BINGOL",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "608-775-8500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41704200",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "940215200",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0764092",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DEGEN BERGLUND SHELBY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.