Proficio Ancillary Service Provider, Llc

LBN: Proficio Ancillary Service Provider, Llc
Proficio Ancillary Service Provider, Llc is an health care organization with primary practice located at 4445 W 77Th St Ste 208 , Edina MN 55435-5190. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Transportation Services / Transportation Broker. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Proficio Ancillary Service Provider, Llc can be contacted via phone (952) 562-2900, or through Capagli, Bruce via phone (952) 562-2900.

Contact Information

Primary practice address
4445 W 77Th St Ste 208 Edina MN 55435-5190
Phone: (952) 562-2900
Fax: (248) 487-9442
Website:
Map and Directions
Authorized official contact:
Name: Capagli, Bruce
Phone: (952) 562-2900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Transportation Services / Transportation Broker 347E00000X

Profile Details

NPI number 1366139768
LBN Legal business name Proficio Ancillary Service Provider, Llc
DBA Doing business as
Authorized official Capagli, Bruce
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2023
Last updated Apr 18th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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