NPIMap

Organization Active NPI

Corner Medical LLC

  • Oxygen Equipment & Supplies (DME)
  • Osseo, MN
National Provider Identifier
1760626790
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
361419 Issued in MN
Legal business name
CORNER MEDICAL LLC
Practice address
500 Cenral Ave
Osseo, MN 55369-1129
Phone
(763) 315-6565
Fax
(763) 315-5888
NPI assigned
Apr 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Mr. Dan Steinhauser
Title
President
Phone
(763) 535-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 361419 MN Primary

Addresses

Primary practice location

500 Cenral Ave
Osseo, MN 55369-1129

Mailing address

500 Cenral Ave
Osseo, MN 55369-1129
Phone (763) 315-6565

Other identifiers 1

IdentifierTypeStateIssuer
1760626790MedicaidMN

Other names 1

  • Corner Home Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930004762 MN DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 0143435271 Practice locations: Osseo, MN

Other NPIs with the same Medicare PAC ID 17

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

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Corner Medical LLC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

500 Central Ave
Osseo, MN 55369
Phone (763) 315-6565

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1760626790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CENRAL AVE",
            "city": "OSSEO",
            "state": "MN",
            "postal_code": "553691129",
            "telephone_number": "763-315-6565",
            "fax_number": "763-315-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CENRAL AVE",
            "city": "OSSEO",
            "state": "MN",
            "postal_code": "553691129",
            "telephone_number": "763-315-6565",
            "fax_number": "763-315-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "STEINHAUSER",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-535-5335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MN",
            "license": "361419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760626790",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osseo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.