| People Incorporated Riverwind & Anoka Armhs | |
|
2708 119th Ave Nw Coon Rapids MN 55433-2912 | |
| (763) 862-7944 | |
| (763) 767-1077 |
| Full Name | People Incorporated Riverwind & Anoka Armhs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2708 119th Ave Nw, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Jill A Wiedemann-west (CEO) |
| Authorized Official Contact | 6517740011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| People Incorporated Riverwind & Anoka Armhs 3000 Ames Crossing Rd Ste 600 Eagan MN 55121-2519 Ph: (651) 774-0011 | People Incorporated Riverwind & Anoka Armhs 2708 119th Ave Nw Coon Rapids MN 55433-2912 Ph: (763) 862-7944 |
| NPI Number | 1215055322 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/30/2022 |
| Certification Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215055322 | NPI | - | NPPES |
| 439R8PE | Other | BCBS RIVERWIND | |
| 5069723 | Other | UBH RIVERWIND | |
| 113278 | Other | HEALTHPARTNERS RIVERWIND | |
| 527460505 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1022358 (Minnesota) | Primary |
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