North Central Medical Supply, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

4406370 Issued in MN

Legal business name

NORTH CENTRAL MEDICAL SUPPLY, INC.

Practice address

13287 Isle Dr
Baxter, MN 56425-8554

Phone

(218) 825-7331

Fax

(218) 822-3888

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Gretchen Renee Rogers

Title

President/Ceo

Phone

(218) 454-1539

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Central Medical Supply and Equipment Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janis D. Anderson, MA

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  • NPI 1306904818
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1851397376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13287 ISLE DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258554",
            "telephone_number": "218-825-7331",
            "fax_number": "218-822-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13287 ISLE DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258554",
            "telephone_number": "218-825-7331",
            "fax_number": "218-822-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "218-454-1539"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MN",
            "license": "4406370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693818300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Central Medical Supply and Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Central Medical Supply and Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Baxter, MN
• Providers in Baxter, MN by specialty
• Oxygen Equipment & Supplies (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.