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Fond Du Lac Reservation Business Committee
Durable Medical Equipment & Medical Supplies in Cloquet, Minnesota
NPI 1326053166

Fond Du Lac Reservation Business Committee is a Durable Medical Equipment & Medical Supplies based in Cloquet, MN. Fond Du Lac Reservation Business Committee practices in Cloquet, MN. The NPI Number for Fond Du Lac Reservation Business Committee is 1326053166 and holds a License No. (Minnesota).

The current practice location address for Fond Du Lac Reservation Business Committee is 927 Trettle Lane, Cloquet, MN and can be reached out via phone at 218-879-1227 and via fax at 218-878-3800.

Location: 927 Trettle Lane, Cloquet, MN, 55720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326053166
Provider Name
Fond Du Lac Reservation Business Committee
Credential
Provider Entity Type
Organization
Address
927 Trettle Lane, Cloquet, MN, 55720
Phone Number
218-879-1227
Fax Number
218-878-3800
Provider Enumeration Date
07/30/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
666815100 05 MN
666815101 05 MN
8F27FO 01 MN BCBS AODA
institution
Provider Business Practice Location Address Details
Address
927 Trettle Lane
City
Cloquet
State
Minnesota
Zip
55720
Phone Number
218-879-1227
Fax Number
218-878-3800
person
Provider Business Mailing Address Details
Address
927 Trettle Lane
City
Cloquet
State
Minnesota
Zip
55720
Phone Number
218-879-1227
Fax Number
218-878-3800
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
5985000001 (Minnesota)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
012003 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Minnesota)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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