Park Nicollet Health Care Products
Durable Medical Equipment & Medical Supplies in New Richmond, WI. Organization (NPI-2).
NPI number1629597331
StatusActive
Last updated in NPPESSep 13, 2017
Details
- NPI
- 1629597331
- Entity type
- Organization (NPI-2)
- Legal business name
- Park Nicollet Health Care Products
- Organization subpart
- Yes
- Enumeration date
- Sep 13, 2017
- Last updated
- Sep 13, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 6019472 | MN | Yes |
Practice location
535 Hospital RdNew Richmond, WI 54017-1449
Phone 715-243-3400
Mailing address
3800 Park Nicollet Blvd 6ws01cSt Louis Park, MN 55416
Phone 952-993-6832 · Fax 952-993-0562
Authorized official
Catherine F Lenagh
Vp, Cfo, Ceo
9529933108
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