Active NPI
Cummings Mobility Conversions & Supply Inc.
- Customized Equipment (DME)
- Hanover, MN
National Provider Identifier
1659570661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8210179-00 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
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.