INTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC
NPI 1710230800
Durable Medical Equipment & Medical Supplies in Sartell, MN

Active since October 26, 2012
2301 CONNECTICUT AVE S, SARTELL, MN 56377(320) 229-1500(320) 229-1505 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...

About INTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC

This page provides the complete NPI Profile along with additional information for Interventional Pain & Physical Medicine Clinic, a provider established in Sartell, Minnesota operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1710230800 assigned on October 2012. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Stacy Kowalkowski (Administrator)

NPI
1710230800 Verify this NPI
Provider Name
INTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC
Entity Type
Organization
Location Address
2301 CONNECTICUT AVE S SARTELL, MN 56377
Location Phone
(320) 229-1500
Location Fax
(320) 229-1505
Mailing Address
2301 CONNECTICUT AVE S SARTELL, MN 56377
Mailing Phone
(320) 229-1500
Mailing Fax
(320) 229-1505
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2012
Last Update Date
10-26-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STACY KOWALKOWSKI

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(320) 229-1500

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
2301 CONNECTICUT AVE S
SARTELL, MN 56377
Clinic/Center (Ambulatory Surgical)
2301 CONNECTICUT AVE S
SARTELL, MN 56377
Physical Therapist
2301 CONNECTICUT AVE S
SARTELL, MN 56377
Physical Therapist
2301 CONNECTICUT AVE S
SARTELL, MN 56377
Physical Therapist
2301 CONNECTICUT AVE S
SARTELL, MN 56377
Nurse Practitioner (Family)
2301 CONNECTICUT AVE S
SARTELL, MN 56377
Physical Therapist
2301 CONNECTICUT AVE S
SARTELL, MN 56377

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710230800, enumerated as an "organization" on October 26, 2012.

The provider is located at 2301 CONNECTICUT AVE S SARTELL, MN 56377 and the phone number is (320) 229-1500.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.