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3300 Oakdale Ave N Robbinsdale MN 55422-2926 | |
| (763) 581-4674 | |
| (763) 581-4561 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3300 Oakdale Ave N, Robbinsdale, Minnesota |
| Authorized Official Name and Position | Stephanie R Gale (INTERIM CFO) |
| Authorized Official Contact | 7635814635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 735463 Chicago IL 60673-5463 Ph: (763) 581-4674 | 3300 Oakdale Ave N Robbinsdale MN 55422-2926 Ph: (763) 581-4674 |
| NPI Number | 1568485548 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Medicare PECOS PAC ID | 0042123028 |
|---|---|
| Medicare Enrollment ID | O20130729000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568485548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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