Provider Demographics
NPI:1396021713
Name:WEST CENTRAL LIFT & ELEVATOR, INC.
Entity Type:Organization
Organization Name:WEST CENTRAL LIFT & ELEVATOR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:HAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-965-2340
Mailing Address - Street 1:PO BOX 176
Mailing Address - Street 2:18 RAILWAY ST
Mailing Address - City:KENSINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:56343-0176
Mailing Address - Country:US
Mailing Address - Phone:320-965-2340
Mailing Address - Fax:320-965-2330
Practice Address - Street 1:18 RAILWAY ST
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MN
Practice Address - Zip Code:56343-0176
Practice Address - Country:US
Practice Address - Phone:320-965-2340
Practice Address - Fax:320-965-2330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNEM00172332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment