Damasco

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DAMASCO

Practice address

941 Hillwind Rd NE Ste 100a
Fridley, MN 55432-5963

Phone

(763) 657-0637

NPI assigned

Aug 16, 2024

Last updated

Aug 16, 2024By 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

Istabraq R Muhidine

Title

Director

Phone

(612) 447-4852

Specialties & licenses 1

Addresses

Other names 1

• damasco Former legal business name

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1922830074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 HILLWIND RD NE STE 100A",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 HILLWIND RD NE STE 100A",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325963",
            "telephone_number": "763-657-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMASCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "MUHIDINE",
        "authorized_official_first_name": "ISTABRAQ",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-447-4852"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "damasco",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hodo M Dahir
• Muna Omar Dakane
• Gloria Jean Dalle Poulos, NBC-HWC, FMCHC, CHES
• Rufina Dalmeida, RN
• George Michael Dalton, LPC
• Daniel R Baker MD PA
• Tasrina Dowla Dara, RD
• Melisa Dawn Darling, PHARMD
• Huda Dahir Daud
• Mark Henderson Davis, LICSW

• Durable Medical Equipment & Medical Supplies in Fridley, MN
• Providers in Fridley, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.