Provider Demographics
NPI:1639826985
Name:INFINITE HEALTH COLLABORATIVE, PA
Entity Type:Organization
Organization Name:INFINITE HEALTH COLLABORATIVE, PA
Other - Org Name:TWIN CITIES ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:W
Authorized Official - Last Name:JOHNCON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-456-7316
Mailing Address - Street 1:3500 AMERICAN BLVD W STE 300
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-4442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5601 96TH AVE N STE 100
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-4505
Practice Address - Country:US
Practice Address - Phone:763-786-9543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INFINITE HEALTH COLLABORATIVE, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-07
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies