Edina Comfort Care Mental Health Walk-in Clinic Llc | |
7300 Frances Ave S Suite 208 Edina MN 55435 | |
(952) 913-5403 | |
(952) 531-3364 |
Full Name | Edina Comfort Care Mental Health Walk-in Clinic Llc |
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Speciality | Social Worker |
Location | 7300 Frances Ave S, Edina, Minnesota |
Authorized Official Name and Position | Karen Lee Eckstrom (CLINICAL DIRECTOR) |
Authorized Official Contact | 9529135403 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Edina Comfort Care Mental Health Walk-in Clinic Llc 7300 Frances Ave S Suite H208 Edina MN 55435 Ph: (952) 913-5403 | Edina Comfort Care Mental Health Walk-in Clinic Llc 7300 Frances Ave S Suite 208 Edina MN 55435 Ph: (952) 913-5403 |
NPI Number | 1861706863 |
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Provider Enumeration Date | 08/02/2010 |
Last Update Date | 10/04/2011 |
Medicare PECOS PAC ID | 6608048038 |
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Medicare Enrollment ID | O20111007000346 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861706863 | NPI | - | NPPES |
1598083404 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | 10192 (Minnesota) | Primary |
Provider Name | Karen L Eckstrom |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598083404 PECOS PAC ID: 4486826823 Enrollment ID: I20111007000419 |
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