Provider Demographics
NPI:1558468819
Name:TRUE-AIR MEDICAL
Entity Type:Organization
Organization Name:TRUE-AIR MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RUNNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-387-9859
Mailing Address - Street 1:716 NIGHTINGALE BLVD
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-5216
Mailing Address - Country:US
Mailing Address - Phone:612-387-9859
Mailing Address - Fax:651-305-8594
Practice Address - Street 1:716 NIGHTINGALE BLVD
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-5216
Practice Address - Country:US
Practice Address - Phone:612-387-9859
Practice Address - Fax:651-305-8594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN370613300Medicaid