Park Nicollet Health Care Products
Durable Medical Equipment & Medical Supplies
155 Radio Drive, Woodbury
Minnesota, 55125-2040
952-831-8742 952-993-0562
Park Nicollet Health Care Products is a Durable Medical Equipment & Medical Supplies in Woodbury, Minnesota. This organization is also known as sub part of Park Nicollet Health Services. It is located at 155 Radio Drive, Woodbury and it's customer support contact number is 952-831-8742. The authorized person of Park Nicollet Health Care Products is Kristin D Brey who is Supervisor/delegated Official of this DME and his contact number is 952-993-6832. Active license number of Park Nicollet Health Care Products is 6019472 for Durable Medical Equipment & Medical Supplies in Minnesota. Park Nicollet Health Care Products accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Park Nicollet Health Care Products is a supplier of 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:
Park Nicollet Health Care Products 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: | Park Nicollet Health Care Products |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 155 Radio Drive, Woodbury,
Minnesota, 55125-2040 |
| Phone: | 952-831-8742 |
| Fax: | 952-993-0562 |
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: | Kristin D Brey |
| Position: | Supervisor/delegated Official |
| Contact Number: | 952-993-6832 |
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: | 1144749862 |
| Parent Organization: | Park Nicollet Health Services |
| NPI Enumeration Date: | 13 Sep, 2017 |
| NPI Last Update On: | 07 Nov, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Park Nicollet Health Care Products are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 6019472 | Minnesota | Primary | |
Medicare Enrollment:
Park Nicollet Health Care Products 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 |
| 2365655164 | O20180228000453 | Park Nicollet Health Care Products | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Products Available:
Park Nicollet Health Care Products has following products available for sale under medicare.
| Products: |
|---|
| • Canes & Crutches | • Diabetic Shoes & Inserts: Prefabricated |
| • Dynamic Splints | • Limb Prostheses |
| • Neuromuscular Electrical Stimulators (nmes) | • Orthoses: Custom Fabricated |
| • Orthoses: Off-the-shelf | • Orthoses: Prefabricated |
| • Pneumatic Compression Devices | • Surgical Dressings |
| • Traction Equipment | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3800 Park Nicollet Blvd # Ms 61901c,
St Louis Park, Minnesota |
| Zip: | 55416-2527 |
| Phone Number: | -- |
| Fax Number: | 952-993-0562 |
Patients can reach Park Nicollet Health Care Products at
155 Radio Drive, Woodbury, Minnesota or can
call on customer care at 952-831-8742.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.