Provider Demographics
NPI:1366557118
Name:BIO-MEDICAL APPLICATIONS OF MINNESOTA, INC.
Entity type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF MINNESOTA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:1515 SAINT FRANCIS AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-4307
Mailing Address - Country:US
Mailing Address - Phone:952-403-1038
Mailing Address - Fax:952-403-1054
Practice Address - Street 1:1515 SAINT FRANCIS AVE STE 150
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-4307
Practice Address - Country:US
Practice Address - Phone:952-403-1038
Practice Address - Fax:952-403-1054
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-20
Last Update Date:2023-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
242542Medicare Oscar/Certification