| NPI | 1649464009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY HAMMERQUIST CEO 605-721-8318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2025-11-11 |