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Contact Information

DEGEN BERGLUND INC
2511 GREEN BAY STREET
LA CROSSE, WI54601-6155
 Phone: 608-775-8585
 Fax: 608-775-8598
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for DEGEN BERGLUND INC

NPI Number 1427086826
LBN Legal business name DEGEN BERGLUND INC
Authorized official JON BINGOL - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
WI License # 9090-042
IA Medicaid 0988816
MN Medicaid 187315600
MN Medicaid 202224900
WI Medicaid 33210900
WI Other 5103851 NCPDP
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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