Centracare Medical Supply LLC

NPI #1831792993 in Madison, Minnesota

Provider Information

NPI Number
1831792993
Entity Type
Organization
Organization Name
Centracare Medical Supply LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CENTRACARE MEDICAL SUPPLY LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Nov 19, 2020
Last Updated
Nov 19, 2020

Practice Location

Address
105 6TH AVE
ZIP Code
56256-1300
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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