ANDOVER PARK CLINIC - DME
NPI 1942300801
Durable Medical Equipment & Medical Supplies in Andover, MN

Q: What is Columbia Park Medical Group, PA's NPI number?

The NPI number for Columbia Park Medical Group, PA is 1942300801. It was assigned to this organization in the NPPES registry on September 22, 2006.

Q: What is Columbia Park Medical Group, PA's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since September 22, 2006

13819 HANSON BLVD NW, ANDOVER, MN 55304(763) 572-5710(763) 862-4415 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Andover Park Clinic - Dme NPPES

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

ANDOVER PARK CLINIC - DME (NPI 1942300801) is a healthcare organization registered as a durable medical equipment & medical supplies in Andover, Minnesota and active in the NPI registry since September 2006. The organization lists Joen V Condon, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1942300801

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameCOLUMBIA PARK MEDICAL GROUP, PA

Location Address13819 HANSON BLVD NWAndover, MN 55304-7608

Mailing Address6401 University Ave NeFridley, MN 55432-4341 · (763) 572-5710 · Fax (763) 571-3008

Phone(763) 572-5710

Fax(763) 862-4415

Organization SubpartYes

Authorized OfficialJoen V CondonChief Financial Officer · (763) 586-5839

Enumeration DateSeptember 22, 2006

Last NPPES UpdateNovember 13, 2007

✔ NPI 1942300801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

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.

13819 HANSON BLVD NW, Andover, MN 55304

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Other Names 1

Other NameAndover Park Clinic - Dme

Other Identifiers 2

Other45Q12COMN · Bcbs Dme Number

Medicare NSC0463570004MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID ROBERT BACHMAN M.D.

Family Medicine