Active NPI
Krall Medical LLC
Doing business as At Home Medical Supply
- Durable Medical Equipment & Medical Supplies
- Winona, MN
National Provider Identifier
1730363631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2324445
- Legal business name
- KRALL MEDICAL LLC
- Doing business as
- At Home Medical Supply
- Practice address
- 1152 Gilmore Ave
Winona, MN 55987-2404 - Phone
- (507) 453-9300
- Fax
- (507) 453-9612
- NPI assigned
- Dec 27, 2007
- Last updated
- Oct 10, 2011
- 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
- Ms. Lynda Krall
- Title
- Owner
- Phone
- (507) 453-9300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2324445 | MN | Primary |
Addresses
Primary practice location
1152 Gilmore Ave
Winona, MN 55987-2404
Mailing address
1152 Gilmore Ave
Winona, MN 55987-2404
Phone (507) 453-9300
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411817576 | Other | MN | MUTUAL OF OMAHA |
| 058835866 | Other | MN | AARP |
| 105861 | Other | MN | CLEAR CONNECT |
| 411817576 | Other | MN | PHYSICIANS MUTUAL |
| 41693800 | Other | MN | WISCONSIN MEDICAID |
| 63375 | Other | MN | HEALTH PARTNERS |
| 723336 | Other | MN | PREFFERED ONE |
| 220717600 | Medicaid | MN | |
| 411817576 | Other | MN | HUMANA GOLD |
| 4BT93AT | Other | MN | BCBS |
| 6G749AT | Other | MN | BCBS |
| 000750867 | Other | MN | APWU |
Other names 1
- AT HOME MEDICAL SUPPLY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318204800000",
"number": "1730363631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1152 GILMORE AVE",
"city": "WINONA",
"state": "MN",
"postal_code": "559872404",
"telephone_number": "507-453-9300",
"fax_number": "507-453-9612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1152 GILMORE AVE",
"city": "WINONA",
"state": "MN",
"postal_code": "559872404",
"telephone_number": "507-453-9300",
"fax_number": "507-453-9612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRALL MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-27",
"last_updated": "2011-10-10",
"status": "A",
"authorized_official_last_name": "KRALL",
"authorized_official_first_name": "LYNDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "507-453-9300",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MN",
"license": "2324445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MUTUAL OF OMAHA",
"identifier": "411817576",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARP",
"identifier": "058835866",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLEAR CONNECT",
"identifier": "105861",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS MUTUAL",
"identifier": "411817576",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN MEDICAID",
"identifier": "41693800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "63375",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFFERED ONE",
"identifier": "723336",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220717600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA GOLD",
"identifier": "411817576",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4BT93AT",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "6G749AT",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APWU",
"identifier": "000750867",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AT HOME MEDICAL SUPPLY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.