Provider Demographics
NPI:1578664553
Name:RONCO LIFTS INC
Entity Type:Organization
Organization Name:RONCO LIFTS INC
Other - Org Name:RONCO LIFTS AND REHAB PRODUCTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-681-3710
Mailing Address - Street 1:218 LABREE AVE N
Mailing Address - Street 2:
Mailing Address - City:THIEF RIVER FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56701-2035
Mailing Address - Country:US
Mailing Address - Phone:218-681-3710
Mailing Address - Fax:218-681-3712
Practice Address - Street 1:218 LABREE AVE N
Practice Address - Street 2:
Practice Address - City:THIEF RIVER FALLS
Practice Address - State:MN
Practice Address - Zip Code:56701-2035
Practice Address - Country:US
Practice Address - Phone:218-681-3710
Practice Address - Fax:218-681-3712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN4577830001Medicare ID - Type Unspecified