Provider Demographics
NPI:1013347913
Name:SLEEP SUPPLY OF WILLMAR, LLC
Entity Type:Organization
Organization Name:SLEEP SUPPLY OF WILLMAR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JARAD
Authorized Official - Middle Name:
Authorized Official - Last Name:RIPPERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-441-2104
Mailing Address - Street 1:2100 19TH AVE SW STE 2
Mailing Address - Street 2:
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-5287
Mailing Address - Country:US
Mailing Address - Phone:320-441-2053
Mailing Address - Fax:320-441-2052
Practice Address - Street 1:2100 19TH AVE SW STE 2
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-5287
Practice Address - Country:US
Practice Address - Phone:320-441-2053
Practice Address - Fax:320-441-2052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-14
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies