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Contact Information

EPICENTERPHD INC
8899 DEER VALLEY RD
PINE CITY, MN55063-4424
 Phone: 612-203-2473
 Fax: 612-460-9804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Health Maintenance Organization

302R00000X
 

Human Factors

225XH1300X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for EPICENTERPHD INC

NPI # 1255862280
LBN Legal business name EPICENTERPHD INC
Authorized official THOMAS MARTINI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2017
Last updated 03/22/2017 - About 9 years ago
Identifiers
MN License # 380825
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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