Custom Medical Equipment Llc
Customized Equipment
1001 S Pokegama Ave Ste A, Grand Rapids
Minnesota, 55744-3919
218-326-2212 Custom Medical Equipment Llc is a Customized Equipment in Grand Rapids, Minnesota. It is located at 1001 S Pokegama Ave Ste A, Grand Rapids and it's customer support contact number is 218-326-2212. The authorized person of Custom Medical Equipment Llc is Mrs. Josephine Lyn Czerny, CRTS who is Owner of this DME and her contact number is 218-326-2212. Active license number of Custom Medical Equipment Llc is 9615269 for Customized Equipment in Minnesota. Custom Medical Equipment Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Custom Medical Equipment Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Custom Medical Equipment Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Custom Medical Equipment Llc |
| Type: | Customized Equipment |
| Location: | 1001 S Pokegama Ave Ste A, Grand Rapids,
Minnesota, 55744-3919 |
| Phone: | 218-326-2212 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Josephine Lyn Czerny |
| Credentials: | CRTS |
| Position: | Owner |
| Contact Number: | 218-326-2212 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1306093463 |
| NPI Enumeration Date: | 20 Aug, 2008 |
| NPI Last Update On: | 19 Aug, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Custom Medical Equipment Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 9615269 | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 697697100 | Medicaid | Minnesota | |
Medicare Enrollment:
Custom Medical Equipment Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0648477851 | O20100930071897 | Custom Medical Equipment Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Products Available:
Custom Medical Equipment Llc has following products available for sale under medicare.
| Products: |
|---|
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Heat & Cold Applications | • Hospital Beds: Electric |
| • Hospital Beds: Manual | • Patient Lifts |
| • Power Operated Vehicles (scooters) | • Seat Lift Mechanisms |
| • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads | • Tracheostomy Supplies |
| • Ultraviolet Light Devices | • Urological Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Complex Rehabilitative Manual | • Wheelchairs & Accessories: Complex Rehabilitative Power |
| • Wheelchairs & Accessories: Standard Manual | • Wheelchairs & Accessories: Standard Power |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1001 S Pokegama Ave Ste A,
Grand Rapids, Minnesota |
| Zip: | 55744-3919 |
| Phone Number: | 218-326-2212 |
Patients can reach Custom Medical Equipment Llc at
1001 S Pokegama Ave Ste A, Grand Rapids, Minnesota or can
call on customer care at 218-326-2212.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.