Organization Active NPI

FMS Foley Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Foley, MN
National Provider Identifier
1598876120
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FMS FOLEY MEDICAL SUPPLY LLC
Practice address
130 Norman Ave S
Foley, MN 56329-8767
Phone
(320) 968-7797
Fax
(320) 968-8869
NPI assigned
Aug 31, 2006
Last updated
Jun 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Authorized official

Name
Mr. Dean Weber, RN
Title
Owner
Phone
(320) 968-7797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

130 Norman Ave S
Foley, MN 56329-8767

Mailing address

PO Box 548
Foley, MN 56329-0548
Phone (320) 968-7797

Other identifiers 2

IdentifierTypeStateIssuer
058484300MedicaidMN
183494OtherMNUCARE MINNESOTA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1598876120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "FOLEY",
            "state": "MN",
            "postal_code": "563290548",
            "telephone_number": "320-968-7797",
            "fax_number": "320-968-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 NORMAN AVE S",
            "city": "FOLEY",
            "state": "MN",
            "postal_code": "563298767",
            "telephone_number": "320-968-7797",
            "fax_number": "320-968-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMS FOLEY MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-968-7797",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058484300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MINNESOTA",
            "identifier": "183494",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.