; NPI #1376301267

Contact Information

SADIE V FORD

13588 NAGELL CIR
MAPLE GROVE, MN 55311-3318

Phone: 176-321-9910
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist

Indicates primary specialty

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NPI Profile & details for

NPI Number 1376301267

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 03/06/2024

Last updated 03/06/2024 - About 2 years ago

Identifiers

License #

6NBMUB1WME

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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Specialty

Prosthetic/Orthotic Supplier

NPI Profile & details for

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