OrganizationActive
Minnesota Independent Cooperative
NPI 1033458922 · Durable Medical Equipment & Medical Supplies · Eagan, MN
Provider details
- NPI number
- 1033458922
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- James Russo, Vp of Operations(651) 686-5011
- License
- 361687 (MN)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2980 Commers Dr Ste 200
Eagan, MN 55121-2370
Phone: (800) 940-1934
Street-level locationGet directions
Mailing address
2980 Commers Dr Ste 200
Eagan, MN 55121-2370
Other names (DBA / former)
- Doing business as
- Diabetic Care Inc.
Registry dates
- Enumerated
- 2013-02-12
- Last updated
- 2013-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.