| Bccs | |
|
1405 Silver Lake Rd Nw Ste 18 New Brighton MN 55112-9312 | |
| (763) 567-8109 | |
| Not Available |
| Full Name | Bccs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1405 Silver Lake Rd Nw Ste 18, New Brighton, Minnesota |
| Authorized Official Name and Position | Joseph Biancardi (OWNER/OPERATOR) |
| Authorized Official Contact | 7635678109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bccs 1405 Silver Lake Rd Nw New Brighton MN 55112-9301 Ph: (763) 567-8109 | Bccs 1405 Silver Lake Rd Nw Ste 18 New Brighton MN 55112-9312 Ph: (763) 567-8109 |
| NPI Number | 1386066413 |
|---|---|
| Provider Enumeration Date | 01/08/2014 |
| Last Update Date | 10/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386066413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP5070 (Minnesota) | Primary |
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