| Minnesota Carepartner, Llc | |
|
5724 36th Ave S Minneapolis MN 55417-2908 | |
| (612) 710-2797 | |
| (187) 778-5037 |
| Full Name | Minnesota Carepartner, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5724 36th Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Katy Kim Armendariz (CO-OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 6127102797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Carepartner, Llc 5724 36th Ave S Minneapolis MN 55417-2908 Ph: (612) 710-2797 | Minnesota Carepartner, Llc 5724 36th Ave S Minneapolis MN 55417-2908 Ph: (612) 710-2797 |
| NPI Number | 1780011510 |
|---|---|
| Provider Enumeration Date | 10/12/2013 |
| Last Update Date | 10/12/2013 |
| Medicare PECOS PAC ID | 8921237801 |
|---|---|
| Medicare Enrollment ID | O20140219001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780011510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 19837 (Minnesota) | Primary |
| Provider Name | Katy K Armendariz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134477268 PECOS PAC ID: 6204087380 Enrollment ID: I20121120000020 |
| Provider Name | Christine M Rushfeldt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659728848 PECOS PAC ID: 0840548681 Enrollment ID: I20180809005986 |
| Provider Name | Kassia E Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932750098 PECOS PAC ID: 7618209636 Enrollment ID: I20191024001094 |
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