Park Nicollet Health Care Products

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PARK NICOLLET HEALTH CARE PRODUCTS

Practice address

1885 Plaza Dr
Eagan, MN 55122-2612

Phone

(952) 993-4001

NPI assigned

Nov 6, 2006

Organization subpart

Yes

Parent organization

PARK NICOLLET HEALTH SERVICESAs reported in NPPES

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

Authorized official

Name

Catherine F Lenagh

Title

Cfo

Phone

(952) 993-3108

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Park Nicollet

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1659450963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 PARK NICOLLET BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 PLAZA DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222612",
            "telephone_number": "952-993-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK NICOLLET HEALTH CARE PRODUCTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARK NICOLLET HEALTH SERVICES",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "LENAGH",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "952-993-3108"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER INDENTIFICATION NUMBER",
            "identifier": "2415253",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Anna Palmer, LICSW, LMFT
• Bolivar Ernesto Panchi-Arcila
• Matveh Panya, PA-C
• Joshua D Paquette, PSY.D
• Karl R Parens, MD
• Abdullrahmaan Amin Parker
• Passport Health Holdings, LLC
• Madhavi Pasupuleti
• Swati Patel, APRN
• Nicole Lynne Paterson, PHARM.D. BCPS

• Durable Medical Equipment & Medical Supplies in Eagan, MN
• Providers in Eagan, 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 Oct 2, 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.

Verify at the official NPI Registry.