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Grand St Paul Cvs Llc

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NPI Number Detailed Information

Provider Information:

Name: Grand St Paul Cvs Llc
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1306868096
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 7/24/2006

Last Update Date: 11/21/2016

Provider Business Mailing Address:

Address: 1 CVS DR MAIL CODE 1090
Woonsocket, RI 02895
Phone Number: 4017651500
Fax Number:

Provider Business Practice Location Address:

Address: 11990 BUSINESS PARK BLVD N
Champlin, MN 55316
Phone Number: 7633541007
Fax Number: 7633541526

Provider Taxonomy:

Primary: 332B00000X
Secondary (if any): 3336C0003X
State: MN

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About Grand St Paul Cvs Llc

Grand St Paul Cvs Llc ( GRAND ST PAUL CVS LLC ) is A Durable Medical Equipment & Medical Supplies Provider in Champlin, MN. The NPI Number for Grand St Paul Cvs Llc is 1306868096.
The current location address for Grand St Paul Cvs Llc is 11990 BUSINESS PARK BLVD N Champlin, MN 55316 and the contact number is 4017651500 and fax number is . The mailing address for Grand St Paul Cvs Llc is 1 CVS DR MAIL CODE 1090 Woonsocket, RI 02895- 7633541007 (mailing address contact number - 4017651500).
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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Grand St Paul Cvs Llc ?


Answer: The NPI Number for Grand St Paul Cvs Llc is 1306868096

Where is Grand St Paul Cvs Llc located?


Answer: Grand St Paul Cvs Llc is located at 11990 BUSINESS PARK BLVD N Champlin, MN 55316.

What is the specialty for Grand St Paul Cvs Llc ?


Answer: The Specialty of Grand St Paul Cvs Llc is A Durable Medical Equipment & Medical Supplies Provider.

Are there any online reviews for Grand St Paul Cvs Llc ?


Answer: Not yet!

Are there any other health care providers in Champlin, MN?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Grand St Paul Cvs Llc

Number of HCPCS 12
Number of Medicare Beneficiaries 471
Number of Services 722
Total Submitted Charge Amount 33588.7
Total Medicare Allowed Amount 27773.27
Total Medicare Payment Amount 27773.27
Total Medicare Standardized Payment Amount 28701.52
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 6
Number of Medicare Beneficiaries With Drug Services 188
Number of Drug Services 192
Total Drug Submitted Charge Amount 12606.85
Total Drug Medicare Allowed Amount 12530.66
Total Drug Medicare Payment Amount 12530.66
Total Drug Medicare Standardized Payment Amount 12288.59
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 6
Number of Medicare Beneficiaries With Medical 471
Number of Medical Services 530
Total Medical Submitted Charge Amount 20981.85
Total Medical Medicare Allowed Amount 15242.61
Total Medical Medicare Payment Amount 15242.61
Total Medical Medicare Standardized Payment Amount 16412.93
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 21
Number of Beneficiaries Age 65 to 74 322
Number of Beneficiaries Age 75 to 84 101
Number of Beneficiaries Age Greater 84 27
Number of Female Beneficiaries 278
Number of Male Beneficiaries 193
Number of Non-Hispanic White Beneficiaries 441
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 15
Number of Beneficiaries With Medicare & Medicaid Entitlement 20
Number of Beneficiaries With Medicare Only Entitlement 451
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.05
Percent (%) of Beneficiaries Identified With Heart Failure 0.03
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.08
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.04
Percent (%) of Beneficiaries Identified With Depression 0.1
Percent (%) of Beneficiaries Identified With Diabetes 0.11
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.17
Percent (%) of Beneficiaries Identified With Hypertension 0.26
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.1
Percent (%) of Beneficiaries Identified With Osteoporosis 0.04
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.17
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.7525

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Grand St Paul Cvs Llc
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NPI Number: 1306868096
Address: 11990 BUSINESS PARK BLVD N Champlin, MN 55316 , Phone: 7633541007
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