| Caremmax | |
|
2615 42nd Ave S Saint Cloud MN 56301-5490 | |
| (320) 224-2234 | |
| Not Available |
| Full Name | Caremmax |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2615 42nd Ave S, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Farhiyo Idifle (SOCIAL WORKER) |
| Authorized Official Contact | 3202242234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caremmax 2615 42nd Ave S Saint Cloud MN 56301-5490 Ph: (320) 224-2234 | Caremmax 2615 42nd Ave S Saint Cloud MN 56301-5490 Ph: (320) 224-2234 |
| NPI Number | 1083353908 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 05/31/2022 |
| Certification Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083353908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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