| Healthcare Services | |
|
324 Broadway St Ste 206 Alexandria MN 56308-1482 | |
| (218) 348-6657 | |
| Not Available |
| Full Name | Healthcare Services |
|---|---|
| Speciality | Social Worker |
| Location | 324 Broadway St Ste 206, Alexandria, Minnesota |
| Authorized Official Name and Position | Danelle J Breitenfeldt (OWNER) |
| Authorized Official Contact | 2183486657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare Services 23053 State 287 Long Prairie MN 56347-5299 Ph: (218) 348-6657 | Healthcare Services 324 Broadway St Ste 206 Alexandria MN 56308-1482 Ph: (218) 348-6657 |
| NPI Number | 1558013904 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 01/25/2023 |
| Certification Date | 01/25/2023 |
| Medicare PECOS PAC ID | 3476920638 |
|---|---|
| Medicare Enrollment ID | O20221101003183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558013904 | NPI | - | NPPES |
| 21519 | Other | MN | MN BOARD OF SOCIAL WORK LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Danelle Jan Breitenfeldt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245683283 PECOS PAC ID: 4082090717 Enrollment ID: I20221004003047 |
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