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Columbia Park Medical Group, Pa
Durable Medical Equipment & Medical Supplies in Andover, Minnesota
NPI 1942300801

Columbia Park Medical Group, Pa is a Durable Medical Equipment & Medical Supplies based in Fridley, MN. Columbia Park Medical Group, Pa practices in Andover, MN. The NPI Number for Columbia Park Medical Group, Pa is 1942300801 and holds a License No. (Minnesota).

The current practice location address for Columbia Park Medical Group, Pa is 13819 Hanson Blvd Nw, Andover, MN and can be reached out via phone at 763-572-5710 and via fax at 763-862-4415.

Location: 13819 Hanson Blvd Nw, Andover, MN, 55432-4341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942300801
Provider Name
Columbia Park Medical Group, Pa
Credential
Provider Entity Type
Organization
Address
13819 Hanson Blvd Nw, Andover, MN, 55432-4341
Phone Number
763-572-5710
Fax Number
763-862-4415
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45Q12CO 01 MN BCBS DME NUMBER
institution
Provider Business Practice Location Address Details
Address
13819 Hanson Blvd Nw
City
Andover
State
Minnesota
Zip
55304-7608
Phone Number
763-572-5710
Fax Number
763-862-4415
person
Provider Business Mailing Address Details
Address
13819 Hanson Blvd Nw
City
Andover
State
Minnesota
Zip
55304-7608
Phone Number
763-572-5710
Fax Number
763-862-4415
person
Provider's Taxonomy Details 1
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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