| Bonnie-lyn Ii, Inc. | |
|
430 Patterson Ave Mankato MN 56001-2309 | |
| (507) 388-5801 | |
| (507) 388-2715 |
| Full Name | Bonnie-lyn Ii, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 430 Patterson Ave, Mankato, Minnesota |
| Authorized Official Name and Position | Earlyn Pengelly (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5073885801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie-lyn Ii, Inc. 430 Patterson Ave Mankato MN 56001-2309 Ph: (507) 388-5801 | Bonnie-lyn Ii, Inc. 430 Patterson Ave Mankato MN 56001-2309 Ph: (507) 388-5801 |
| NPI Number | 1649397092 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649397092 | NPI | - | NPPES |
| 6120605 | Other | MN | MEDICA, UBH |
| 30349 | Other | MN | HEALTH PARTNERS |
| 120001 | Other | MN | UCARE |
| 57784BO | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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