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1580 Highway 55 Hastings MN 55033-2372 | |
| (651) 438-4508 | |
| (651) 438-4508 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1580 Highway 55, Hastings, Minnesota |
| Authorized Official Name and Position | Anthony Peter Nelson (FINANCE MANAGER) |
| Authorized Official Contact | 6514384363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1590 Highway 55 Hastings MN 55033-2343 Ph: (651) 438-4508 | 1580 Highway 55 Hastings MN 55033-2372 Ph: (651) 438-4508 |
| NPI Number | 1548424658 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548424658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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