WOUND COMPANY PROVIDER GROUP, INC.; NPI #1114635174

Contact Information

WOUND COMPANY PROVIDER GROUP, INC.

2240 DREW AVE S
MINNEAPOLIS, MN 55416-3646

Phone: 858-774-6305
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Wound Care	163WW0000X
Continence Care	163WC2100X
Enterostomal Therapy	163WE0900X

Indicates primary specialty

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NPI Profile & details for WOUND COMPANY PROVIDER GROUP, INC.

NPI Number	`1114635174`
LBN Legal business name	WOUND COMPANY PROVIDER GROUP, INC.
Authorized official	BRANTLEY JOLLY - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/09/2022
Last updated	07/18/2023 - About 3 years ago
Identifiers	n/a

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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WOUND COMPANY PROVIDER GROUP, INC.

Contact Information

Specialty

Wound Care

Continence Care

Enterostomal Therapy

NPI Profile & details for WOUND COMPANY PROVIDER GROUP, INC.

Reviews for WOUND COMPANY PROVIDER GROUP, INC.