Provider Demographics
NPI:1629416847
Name:HP MEDICAL SUPPLIES COMPANY INC
Entity Type:Organization
Organization Name:HP MEDICAL SUPPLIES COMPANY INC
Other - Org Name:NEW HOPE MEDICAL SUPPLIES COMPANY INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:COLLINS
Authorized Official - Last Name:EATERBUNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-964-2252
Mailing Address - Street 1:5005 WINGARD PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-1215
Mailing Address - Country:US
Mailing Address - Phone:612-964-2252
Mailing Address - Fax:
Practice Address - Street 1:5005 WINGARD PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-1215
Practice Address - Country:US
Practice Address - Phone:612-964-2252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
MN3044059332B00000X
MN332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies