Provider Demographics
NPI:1629066576
Name:CW HEALTHCARE INC
Entity Type:Organization
Organization Name:CW HEALTHCARE INC
Other - Org Name:ADVANCE MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:REINHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-300-7747
Mailing Address - Street 1:80 LITTLE CANADA RD E STE 4
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-1343
Mailing Address - Country:US
Mailing Address - Phone:952-426-4812
Mailing Address - Fax:952-658-6853
Practice Address - Street 1:80 LITTLE CANADA RD E STE 4
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-1343
Practice Address - Country:US
Practice Address - Phone:952-426-4812
Practice Address - Fax:952-658-6853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-13
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2823896332B00000X, 332BC3200X, 332BP3500X, 335E00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN278021600Medicaid
SD4998452OtherBLUE CROSS OF SO DAKOTA
MN108381OtherUCARE
MN522063700Medicaid
MN7033429OtherPREFERRED ONE
MI383112668OtherUPHP MEDICAID
MI4204214Medicaid
MI54-0-E2-03040OtherBLUE CROSS OF MICHIGAN
MN2G671CWOtherBLUE CROSS BLUE SHIELD MN
SD9166920Medicaid
MI383112668OtherUPHP MEDICAID
SD9166920Medicaid