Northern Access Behavioral Health | |
1526 30th St Nw Bemidji MN 56601-4140 | |
(218) 751-0887 | |
(218) 759-4807 |
Full Name | Northern Access Behavioral Health |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1526 30th St Nw, Bemidji, Minnesota |
Authorized Official Name and Position | Mitchell William Ejnik (NURSE PRACTITIONER) |
Authorized Official Contact | 3208940094 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northern Access Behavioral Health 23713 State 200 Laporte MN 56461-4104 Ph: (320) 894-0094 | Northern Access Behavioral Health 1526 30th St Nw Bemidji MN 56601-4140 Ph: (218) 751-0887 |
NPI Number | 1952134785 |
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Provider Enumeration Date | 08/26/2024 |
Last Update Date | 10/31/2024 |
Certification Date | 10/31/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952134785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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