Provider Demographics
NPI:1568771202
Name:SUMMIT HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:SUMMIT HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GUS
Authorized Official - Middle Name:C
Authorized Official - Last Name:WURDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-750-4018
Mailing Address - Street 1:20455 248TH CIR
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-4164
Mailing Address - Country:US
Mailing Address - Phone:612-750-4018
Mailing Address - Fax:320-587-9060
Practice Address - Street 1:222 3RD AVE SE
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:MN
Practice Address - Zip Code:56273-8647
Practice Address - Country:US
Practice Address - Phone:320-905-3256
Practice Address - Fax:320-587-9060
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCKRAUT HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies