| State Of Minnesota - Minnesota Management And Budget | |
|
920 Anne St Nw Bemidji MN 56601-5104 | |
| (651) 396-6260 | |
| Not Available |
| Full Name | State Of Minnesota - Minnesota Management And Budget |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 920 Anne St Nw, Bemidji, Minnesota |
| Authorized Official Name and Position | Simone Renee Hogan (MDVA HEALTHCARE OPERATIONS DIRECTOR) |
| Authorized Official Contact | 6125054110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Minnesota - Minnesota Management And Budget 5101 Minnehaha Ave Bldg 10 Minneapolis MN 55417-1647 Ph: (651) 396-6260 | State Of Minnesota - Minnesota Management And Budget 920 Anne St Nw Bemidji MN 56601-5104 Ph: (651) 396-6260 |
| NPI Number | 1144036393 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144036393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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