Provider Demographics
NPI:1578557021
Name:HELD ENTERPRISES OF GREATER ST CLOUD, INC
Entity Type:Organization
Organization Name:HELD ENTERPRISES OF GREATER ST CLOUD, INC
Other - Org Name:GREAT STEPS ORTHOTIC & PROSTHETIC SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HELD
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:320-229-1742
Mailing Address - Street 1:22 3RD AVE S
Mailing Address - Street 2:PO BOX 437
Mailing Address - City:COLD SPRING
Mailing Address - State:MN
Mailing Address - Zip Code:56320-2580
Mailing Address - Country:US
Mailing Address - Phone:320-685-8399
Mailing Address - Fax:320-685-4339
Practice Address - Street 1:154 19TH STREET SOUTH
Practice Address - Street 2:SUITE 1
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-2153
Practice Address - Country:US
Practice Address - Phone:320-229-1742
Practice Address - Fax:320-229-1671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-09
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1025655OtherPREFERRED ONE
MN25D91GROtherBLUECROSS&BLUE SHIELD
MN8200179OtherSELECT CARE
MN75486OtherHEALTHPARTNERS
MN8200179OtherMEDICA
MN160013OtherUCARE
MN75486OtherHEALTHPARTNERS
MN=========OtherTRIWEST/TRICARE