Wildrose Home Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WILDROSE HOME MEDICAL

Practice address

1210 E College Dr Ste 800
Marshall, MN 56258-2269

Phone

(612) 618-5313

NPI assigned

Jun 4, 2012

Last updated

Jun 4, 2012By 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

Westley T Blomme

Title

Owner

Phone

(612) 618-5313

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1689935942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E COLLEGE DR STE 800",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582269",
            "telephone_number": "612-618-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E COLLEGE DR STE 800",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582269",
            "telephone_number": "612-618-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDROSE HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "BLOMME",
        "authorized_official_first_name": "WESTLEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-618-5313"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maddison Rose Wendland
• Brandon James West, CRNA
• Western Community Action
• Western Mental Health Center, Inc.
• Sandra Christine Widhalm Murphy, R.PH.
• Jane K Willett, DO
• Joseph R Willett, DO
• Ellen Ferris Williams, LCSW
• Lea M Williamson
• Andrew Willuweit, PHARM.D.

• Durable Medical Equipment & Medical Supplies in Marshall, MN
• Providers in Marshall, 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 Jun 4, 2012; 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.