Provider Demographics
NPI:1891034930
Name:ACCOUNTABLE MEDICAL EQUIPMENT & SUPPLY, INC
Entity type:Organization
Organization Name:ACCOUNTABLE MEDICAL EQUIPMENT & SUPPLY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:LYNAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-770-4177
Mailing Address - Street 1:811 GLENWOOD AVENUE
Mailing Address - Street 2:SUITE 290
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55405-1804
Mailing Address - Country:US
Mailing Address - Phone:612-770-4177
Mailing Address - Fax:612-454-2664
Practice Address - Street 1:811 GLENWOOD AVENUE
Practice Address - Street 2:SUITE 290
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55405-1804
Practice Address - Country:US
Practice Address - Phone:612-770-4177
Practice Address - Fax:612-454-2664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-09
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN29156251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA594517800Medicaid