Winmar Diagnostics North Central, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WINMAR DIAGNOSTICS NORTH CENTRAL, INC.

Practice address

2424 32ND Ave S Ste 101a
Grand Forks, ND 58201-6509

Phone

(701) 746-7378

NPI assigned

Feb 27, 2019

Last updated

Feb 27, 2019By 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

Jennifer Gompf

Title

Billing Manager

Phone

(701) 235-7424

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Winmar Diagnostics North Central, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fargo, ND
  • NPI 1114071040

  4880695568

  Same PAC ID
• Winmar Diagnostics North Central, Inc.

  • Physiological Laboratory
  • Fargo, ND
  • NPI 1811041270

  4880695568

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Winmar Diagnostics Slee4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Winmar Diagnostics North Central, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fargo, ND
  • NPI 1114071040
  NPD tax ID
• Winmar Diagnostics North Central, Inc.

  • Physiological Laboratory
  • Fargo, ND
  • NPI 1811041270
  NPD tax ID
• Winmar Diagnostics North Central

  • Physiological Laboratory
  • Morris, MN
  • NPI 1225083140
  NPD tax ID

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1700343639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 12TH AVE S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038723",
            "telephone_number": "701-235-7424",
            "fax_number": "701-239-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 32ND AVE S STE 101A",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016509",
            "telephone_number": "701-746-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINMAR DIAGNOSTICS NORTH CENTRAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "GOMPF",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "701-235-7424"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Wilson
• Garett C Wiltse, LCSW, LICSW
• Marshall Winchester, MD
• Jenna Wing, MS,LAT,ATC
• Kayla Rose Winkler, M.S., CCC-SLP
• Holly Winn, MD
• Richard Allen Wise, PHD
• Weston Wise, DPT
• Jade Wiseth
• Karina Wittmann, LRD

• Durable Medical Equipment & Medical Supplies in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Durable Medical Equipment & Medical Supplies in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.