|
| |
|
1020 West Broadway Minneapolis MN 55411-2504 | |
| (612) 895-3850 | |
| (612) 945-4710 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1020 West Broadway, Minneapolis, Minnesota |
| Authorized Official Name and Position | Cindy Gaither (VP OF REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 6022488886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8444 N 90th St Ste 100 Scottsdale AZ 85258-4437 Ph: (602) 248-8886 | 1020 West Broadway Minneapolis MN 55411-2504 Ph: (612) 895-3850 |
| NPI Number | 1033804653 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Medicare PECOS PAC ID | 8729414362 |
|---|---|
| Medicare Enrollment ID | O20240910000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033804653 | NPI | - | NPPES |
Futurebrain Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5240 W Lake Nokomis Pkwy, Minneapolis, MN 55417 Phone: 612-378-2363 Fax: 612-378-2363 | |
Phoenix Adolescent Outpatient Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 13th Ave Se, Minneapolis, MN 55414 Phone: 651-734-3268 Fax: 612-378-4886 | |
1-0 Granny's Helpful Hands, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 E Lake St, Minneapolis, MN 55407 Phone: 612-824-1177 | |
Community Empowerment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Washington Ave N, Minneapolis, MN 55401 Phone: 202-450-0351 | |
The Uptown Center For Psychotherapy Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3253 Humboldt Ave S, Minneapolis, MN 55408 Phone: 920-277-7923 | |