Geriatric Behavioral Health | |
1013 Hart Blvd Monticello MN 55362-8575 | |
(763) 295-2945 | |
(763) 271-2299 |
Full Name | Geriatric Behavioral Health |
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Speciality | Psychiatric Unit |
Location | 1013 Hart Blvd, Monticello, Minnesota |
Authorized Official Name and Position | Michael A. Blair (SR. VICE PRESIDENT AND CFO) |
Authorized Official Contact | 3202555665 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Geriatric Behavioral Health 1013 Hart Blvd Monticello MN 55362-8575 Ph: (763) 295-2945 | Geriatric Behavioral Health 1013 Hart Blvd Monticello MN 55362-8575 Ph: (763) 295-2945 |
NPI Number | 1003353202 |
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Provider Enumeration Date | 01/25/2017 |
Last Update Date | 10/10/2019 |
Medicare PECOS PAC ID | 3870739410 |
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Medicare Enrollment ID | O20170615000046 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003353202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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