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PINK RIBBON MASTECTOMY, INC.
NPI 1134110802
Prosthetic/Orthotic Supplier in Detroit Lakes, MN

Active since November 02, 2005
101 GRAYSTONE PLZ, SUITE 200, DETROIT LAKES, MN 56501(218) 846-1800(218) 846-1803 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Pink Ribbon Mastectomy, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINK RIBBON MASTECTOMY, INC. (NPI 1134110802) is a healthcare organization registered as a prosthetic/orthotic supplier in Detroit Lakes, Minnesota and active in the NPI registry since November 2005. The organization lists Dawn Renee' Heide-mcdougall, President/owner, as its authorized official.

NPPES Registry Identity

NPI1134110802
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePINK RIBBON MASTECTOMY, INC.
Location Address101 GRAYSTONE PLZ, SUITE 200Detroit Lakes, MN 56501-3043
Mailing Address101 Graystone Plz, Suite 200Detroit Lakes, MN 56501-3043 · (218) 846-1800 · Fax (218) 846-1803
Phone(218) 846-1800
Fax(218) 846-1803
Organization SubpartNo
Authorized OfficialDawn Renee' Heide-mcdougallPresident/owner · (218) 846-1800
Enumeration DateNovember 2, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1134110802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
101 GRAYSTONE PLZ, Detroit Lakes, MN 56501
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pink Ribbon Mastectomy, Inc.'s NPI number?

The NPI number for Pink Ribbon Mastectomy, Inc. is 1134110802. It was assigned to this organization in the NPPES registry on November 2, 2005.

Where is Pink Ribbon Mastectomy, Inc. located?

Pink Ribbon Mastectomy, Inc. is located at 101 Graystone Plz Suite 200, Detroit Lakes, MN 56501. The listed phone number is (218) 846-1800.

What is Pink Ribbon Mastectomy, Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Pink Ribbon Mastectomy, Inc. was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.