Organization Name: | COURAGE CENTER |
NPI Number: | 1992795280 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALICE JOHNSON (CFO) |
Mailing Address: | 3915 Golden Valley Rd Golden Valley |
State: | MN US |
Postal Code: | 554224249 |
Phone Number: | 7635880811 |
Fax Number: | 7635200237 |
NPI Enumeration Date: | 10/27/2005 |
NPI Last Update Date: | 07/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 8356799 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |