Chemical Health Program | |
16770 Clearwater Lake Rd Clearbrook MN 56634-4223 | |
(218) 444-2845 | |
(218) 444-2847 |
Full Name | Chemical Health Program |
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Speciality | Community/behavioral Health |
Location | 16770 Clearwater Lake Rd, Clearbrook, Minnesota |
Authorized Official Name and Position | Steve M. Jackelen (VICE PRESIDENT) |
Authorized Official Contact | 2184442845 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chemical Health Program 514 Beltrami Ave Nw Bemidji MN 56601-3010 Ph: (218) 751-5919 | Chemical Health Program 16770 Clearwater Lake Rd Clearbrook MN 56634-4223 Ph: (218) 444-2845 |
NPI Number | 1437221421 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437221421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1042736-1-CDT (Minnesota) | Primary |