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Proficio Ancillary Service Provider, Llc
Transportation Broker in Edina, Minnesota
NPI 1366139768

Proficio Ancillary Service Provider, Llc is a Transportation Broker based in Edina, MN. Proficio Ancillary Service Provider, Llc practices in Edina, MN. The NPI Number for Proficio Ancillary Service Provider, Llc is 1366139768 and holds a License No. (Minnesota).

The current practice location address for Proficio Ancillary Service Provider, Llc is 4445 W 77Th St Ste 208, Edina, MN and can be reached out via phone at 952-562-2900 and via fax at 248-487-9442.

Location: 4445 W 77Th St Ste 208, Edina, MN, 55435-4702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366139768
Provider Name
Proficio Ancillary Service Provider, Llc
Credential
Provider Entity Type
Organization
Address
4445 W 77Th St Ste 208, Edina, MN, 55435-4702
Phone Number
952-562-2900
Fax Number
248-487-9442
Provider Enumeration Date
04/18/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4445 W 77Th St Ste 208
City
Edina
State
Minnesota
Zip
55435-5190
Phone Number
952-562-2900
Fax Number
248-487-9442
person
Provider Business Mailing Address Details
Address
4445 W 77Th St Ste 208
City
Edina
State
Minnesota
Zip
55435-5190
Phone Number
952-562-2900
Fax Number
248-487-9442
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Transportation Broker
Speciality
-
Taxonomy
347E00000X
License No.
()
Definition
An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.
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