Organization Active NPI

Cummings Mobility Conversions & Supply Inc.

  • Customized Equipment (DME)
  • Hanover, MN
National Provider Identifier
1659570661
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
CUMMINGS MOBILITY CONVERSIONS & SUPPLY INC.
Practice address
11238 River Rd NE
Hanover, MN 55341-4022
Phone
(763) 498-7887
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Linda Benson
Title
Office Manager
Phone
(763) 498-7887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X MN Primary

Addresses

Primary practice location

11238 River Rd NE
Hanover, MN 55341-4022

Mailing address

11238 River Rd NE
PO Box 26
Hanover, MN 55341-4022
Phone (763) 498-7887

Other identifiers 1

IdentifierTypeStateIssuer
8210179-00MedicaidMN

National Provider Directory

National Provider Directory

Locations

11238 River Rd NE
Hanover, MN 55341
Phone (763) 498-7887

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659570661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11238 RIVER RD NE",
            "address_2": "PO BOX 26",
            "city": "HANOVER",
            "state": "MN",
            "postal_code": "553414022",
            "telephone_number": "763-498-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11238 RIVER RD NE",
            "city": "HANOVER",
            "state": "MN",
            "postal_code": "553414022",
            "telephone_number": "763-498-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMMINGS MOBILITY CONVERSIONS & SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "763-498-7887"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8210179-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.