| Aac Psychiatric Services Pa | |
|
1526 30th St Nw Bemidji MN 56601-4140 | |
| (218) 751-0887 | |
| Not Available |
| Full Name | Aac Psychiatric Services Pa |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1526 30th St Nw, Bemidji, Minnesota |
| Authorized Official Name and Position | Cynthia Ann Schackman (FAMILYPSYCHIATRICNURSEPRACTITIONER) |
| Authorized Official Contact | 2183686391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aac Psychiatric Services Pa 1526 30th St Nw Bemidji MN 56601-4140 Ph: (218) 751-0887 | Aac Psychiatric Services Pa 1526 30th St Nw Bemidji MN 56601-4140 Ph: (218) 751-0887 |
| NPI Number | 1699941906 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699941906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | R 159021-8 (Minnesota) | Primary |
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