| Extended Contract Inpt Psych Services | |
|
1406 6th Ave N Saint Cloud MN 56303-1900 | |
| (320) 251-2700 | |
| (320) 656-7009 |
| Full Name | Extended Contract Inpt Psych Services |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1406 6th Ave N, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Michael A. Blair (SR. VICE PRESIDENT & CFO) |
| Authorized Official Contact | 3202555665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extended Contract Inpt Psych Services 1406 6th Ave N Saint Cloud MN 56303-1900 Ph: (320) 251-2700 | Extended Contract Inpt Psych Services 1406 6th Ave N Saint Cloud MN 56303-1900 Ph: (320) 251-2700 |
| NPI Number | 1932419058 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 10/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932419058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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