Provider Demographics
NPI:1881688349
Name:HELD ENTERPRISES OF WEST CENTRAL MN, INC
Entity type:Organization
Organization Name:HELD ENTERPRISES OF WEST CENTRAL MN, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HELD
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:320-229-1742
Mailing Address - Street 1:22 3RD AVE S
Mailing Address - Street 2:PO BOX 437
Mailing Address - City:COLD SPRING
Mailing Address - State:MN
Mailing Address - Zip Code:56320-2579
Mailing Address - Country:US
Mailing Address - Phone:320-685-8399
Mailing Address - Fax:320-685-4339
Practice Address - Street 1:130 WILLMAR AVE SE
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-3484
Practice Address - Country:US
Practice Address - Phone:320-235-8957
Practice Address - Fax:320-235-8958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-09
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN170957OtherUCARE
MN101L9HEOtherBLUE CROSS BLUE SHIELD
MN8200333OtherMEDICA
MN8200333OtherSELECT CARE
MN1032078OtherPREFERRED ONE
SD9150640Medicaid
MN101L9HEOtherBLUE CROSS BLUE SHIELD