Provider Demographics
NPI:1689680357
Name:MEDICAL EQUIPMENT INC.
Entity Type:Organization
Organization Name:MEDICAL EQUIPMENT INC.
Other - Org Name:HIAWATHA MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:STAATS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-385-5797
Mailing Address - Street 1:4920 MOUNDVIEW DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:RED WING
Mailing Address - State:MN
Mailing Address - Zip Code:55066-1100
Mailing Address - Country:US
Mailing Address - Phone:651-385-5797
Mailing Address - Fax:651-388-2227
Practice Address - Street 1:4920 MOUNDVIEW DR
Practice Address - Street 2:SUITE B
Practice Address - City:RED WING
Practice Address - State:MN
Practice Address - Zip Code:55066-1100
Practice Address - Country:US
Practice Address - Phone:651-385-5797
Practice Address - Fax:651-388-2227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN041765300Medicaid
MN1025956OtherPREFFERED ONE
WI41697100Medicaid
MN3G726HIOtherBCBSMN
MN78544OtherHEALTH PARTNERS