OrganizationActive
Pink Ribbon Mastectomy, Inc.
NPI 1134110802 · Prosthetic/Orthotic Supplier · Detroit Lakes, MN
Provider details
- NPI number
- 1134110802
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Dawn Heide-Mcdougall, President/Owner(218) 846-1800
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
101 Graystone Plz
Suite 200
Detroit Lakes, MN 56501-3043
Phone: (218) 846-1800
Fax: (218) 846-1803
Street-level locationGet directions
Mailing address
101 Graystone Plz
Detroit Lakes, MN 56501-3043
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.