Provider Demographics
NPI:1184855371
Name:CPAP OF MINNESOTA
Entity Type:Organization
Organization Name:CPAP OF MINNESOTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:H
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:763-497-6975
Mailing Address - Street 1:3649 KAHLER DR NE
Mailing Address - Street 2:
Mailing Address - City:SAINT MICHAEL
Mailing Address - State:MN
Mailing Address - Zip Code:55376-9165
Mailing Address - Country:US
Mailing Address - Phone:763-497-6975
Mailing Address - Fax:
Practice Address - Street 1:3649 KAHLER DR NE
Practice Address - Street 2:
Practice Address - City:SAINT MICHAEL
Practice Address - State:MN
Practice Address - Zip Code:55376-9165
Practice Address - Country:US
Practice Address - Phone:763-497-6975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies