Flad Enterprises, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4598806 Issued in MN

Legal business name

FLAD ENTERPRISES, INC

Doing business as

Bourne Medical Service

Practice address

163 Walnut St
Winona, MN 55987-3404

Phone

(507) 452-1313

Fax

(507) 454-5717

NPI assigned

May 27, 2006

Last updated

Apr 13, 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

Stephen J Flad

Title

President

Phone

(507) 454-1315

Specialties & licenses 2

Addresses

Other identifiers 7

Other names 1

• Bourne Medical Service Doing business as

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1497702583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 WALNUT ST",
            "address_2": "P O BOX 111",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873404",
            "telephone_number": "507-452-1313",
            "fax_number": "507-454-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 WALNUT ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873404",
            "telephone_number": "507-452-1313",
            "fax_number": "507-454-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAD ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "FLAD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-454-1315"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "4598806",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "01021520",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41692900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "612220500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "8200512",
            "identifier": "MEDICA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD MN",
            "identifier": "6G059FL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "167458",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "47764",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bourne Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dalton Fields
• Angelyssa Heredia Figueroa
• Ivy Melissa Finley I
• Jodi First
• Kristen Mariah Fish
• Olivia Flanagan
• Adam C Fletcher, MD
• April Jeanett Flores-Franco
• Diana Lidia Flores-Rodriguez
• Jackson Dean Flottmeyer

• Durable Medical Equipment & Medical Supplies in Winona, MN
• Providers in Winona, 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 Apr 13, 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.