Centracare Medical Supply LLC
NPI #1598368755 in Alexandria, Minnesota
Provider Information
- NPI Number
- 1598368755
- Entity Type
- Organization
- Organization Name
- Centracare Medical Supply LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Nov 19, 2020
- Last Updated
- Nov 19, 2020
Practice Location
- Address
- 115 18TH AVE W
- City
- Alexandria
- State
- Minnesota
- ZIP Code
- 56308-2748
- Phone
- (320) 762-6036
Authorized Official
- Name
- MICHAEL A BLAIR
- Title
- SR VP & CFO
- Phone
- (320) 255-5665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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