Healthline Medical Supply

LBN: Range Regional Health Services
Healthline Medical Supply is an health care organization with primary practice located at 2716 Crescent Drive Suite 1, International Falls MN 56649-2198. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Range Regional Health Services can be contacted via phone (218) 283-4174, or through Boardman, Debra Kathleen via phone (218) 362-6730.

Contact Information

Primary practice address
2716 Crescent Drive Suite 1 International Falls MN 56649-2198
Phone: (218) 283-4174
Fax: (218) 283-5561
Website:
Map and Directions
Authorized official contact:
Name: Boardman, Debra Kathleen
Phone: (218) 362-6730

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Oxygen Equipment & Supplies 332BX2000X

Profile Details

NPI number 1710954821
LBN Legal business name Range Regional Health Services
DBA Doing business as Healthline Medical Supply
Authorized official Boardman, Debra Kathleen
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 7th, 2006
Last updated Jul 9th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710954821 NPPES
Minnesota MEDICAID 868182000
Minnesota Other 82-14495
Minnesota Other 110274
Minnesota Other 461R0HE

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