Organization Active NPI

Minnesota Milk Bank for Babies

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Roseville, MN
National Provider Identifier
1922665488
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
MINNESOTA MILK BANK FOR BABIES
Practice address
2833 Fairview Ave N
Roseville, MN 55113-1325
Phone
(763) 546-8051
Fax
(763) 546-8196
NPI assigned
May 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Mrs. Linda H Dech, MPH, IBCLC
Title
Executive Director
Phone
(763) 546-8051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

2833 Fairview Ave N
Roseville, MN 55113-1325

Mailing address

2833 Fairview Ave N
Roseville, MN 55113-1325
Phone (763) 546-8051

National Provider Directory

National Provider Directory

Locations

2525 Nevada Ave N
Ste 304
Golden Valley, MN 55427

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1922665488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 FAIRVIEW AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131325",
            "telephone_number": "763-546-8051",
            "fax_number": "763-546-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 FAIRVIEW AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131325",
            "telephone_number": "763-546-8051",
            "fax_number": "763-546-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA MILK BANK FOR BABIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "DECH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-546-8051",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPH, IBCLC"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.