| Minnesota Carepartner, Llc | |
|
393 Dunlap St N Ste 300 Saint Paul MN 55104-4207 | |
| (612) 289-5656 | |
| (651) 925-0278 |
| Full Name | Minnesota Carepartner, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 393 Dunlap St N Ste 300, Saint Paul, Minnesota |
| Authorized Official Name and Position | Katy Kim Armendariz (CEO) |
| Authorized Official Contact | 6122895656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Carepartner, Llc 393 Dunlap St N Ste 300 Saint Paul MN 55104-4207 Ph: (612) 289-5656 | Minnesota Carepartner, Llc 393 Dunlap St N Ste 300 Saint Paul MN 55104-4207 Ph: (612) 289-5656 |
| NPI Number | 1386234730 |
|---|---|
| Provider Enumeration Date | 01/20/2021 |
| Last Update Date | 01/20/2021 |
| Certification Date | 01/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386234730 | NPI | - | NPPES |
| 1780011510 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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