Princeton Mobility and Medical Products

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2129326 Issued in MN

Legal business name

PRINCETON MOBILITY AND MEDICAL PRODUCTS

Practice address

116 S Rum River Dr
Suite 6B
Princeton, MN 55371-4532

Phone

(763) 631-0801

Fax

(763) 631-0501

NPI assigned

Sep 6, 2011

Last updated

Sep 6, 2011By 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

Mr. Richard Strunk

Title

Owner

Phone

(763) 631-0801

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1649551557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S RUM RIVER DR",
            "address_2": "SUITE 6B",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553714532",
            "telephone_number": "763-631-0801",
            "fax_number": "763-631-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S RUM RIVER DR",
            "address_2": "SUITE 6B",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553714532",
            "telephone_number": "763-631-0801",
            "fax_number": "763-631-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON MOBILITY AND MEDICAL PRODUCTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "STRUNK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-631-0801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "2129326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Princeton, MN
• Providers in Princeton, 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 Sep 6, 2011; 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.