1942460423 NPI number — MINIMED DISTRIBUTION CORP.

Table of content: (NPI 1942460423)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942460423 NPI number — MINIMED DISTRIBUTION CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MINIMED DISTRIBUTION CORP.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942460423
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18000 DEVONSHIRE ST
Provider Second Line Business Mailing Address:
ATTN: ANGELA WARD JONES, LEGAL DEPT
Provider Business Mailing Address City Name:
NORTHRIDGE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91325-1219
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-933-3322
Provider Business Mailing Address Fax Number:
818-576-6228

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 INDEPENDENCE PLZ
Provider Second Line Business Practice Location Address:
STE 802
Provider Business Practice Location Address City Name:
HOMEWOOD
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35209-2629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-933-3322
Provider Business Practice Location Address Fax Number:
804-550-2796
Provider Enumeration Date:
06/10/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
ANGELA
Authorized Official Middle Name:
WARD
Authorized Official Title or Position:
SENIOR COMPLIANCE SPECIALIST
Authorized Official Telephone Number:
804-550-2017

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)