| NPI | 1265494777 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-04-03 |
| Last Updated | 2024-11-07 |
| Authorized Official | Kristin Brey Supervisor/Delegated Official Phone: 9529936832 |
| Mailing Address | 3800 Park Nicollet Blvd # Ms 61901c St Louis Park, MN 55416-2527 United States 📍 View Map |
| Primary Practice Address | 14000 Fairview Dr Burnsville, MN 55337-5713 United States Phone: (952) 993-8700 | Fax: (952) 993-0562 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MN | 046098200 | - |
| MEDICAID | MN | 21398500 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 332H00000X – Eyewear Supplier (Equipment, not the service) | - | - |
| No | 332S00000X – Hearing Aid Equipment | MN | - |
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About NPI 1265494777
Park Nicollet Health Care Products is an organization registered in the CMS NPPES NPI Registry with NPI number 1265494777. The primary specialty listed is Durable Medical Equipment & Medical Supplies. The organization is located in Burnsville, MN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1265494777?
NPI 1265494777 belongs to Park Nicollet Health Care Products, a Durable Medical Equipment & Medical Supplies in Burnsville, MN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1265494777 active?
The current status of NPI 1265494777 in the NPPES registry is Active. The record was last updated on 2024-11-07.
What specialty is NPI 1265494777?
NPI 1265494777 is classified under the taxonomy Durable Medical Equipment & Medical Supplies. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1265494777?
You can verify NPI 1265494777 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1265494777?
The primary practice address on file for NPI 1265494777 is 14000 Fairview Dr, Burnsville, MN 55337-5713. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1265494777 issued?
NPI 1265494777 was first issued (enumerated) on 2006-04-03. The NPPES record was last updated on 2024-11-07.
Practice Location Map
Park Nicollet Health Care Products is located at 14000 Fairview Dr, Burnsville, MN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Park Nicollet Health Care Products. All records sourced from the CMS NPPES registry.