| Peoplefirst Clinic Pllc | |
|
652 Bielenberg Dr Ste 202 Woodbury MN 55125-4480 | |
| (651) 317-3902 | |
| (833) 972-4801 |
| Full Name | Peoplefirst Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 652 Bielenberg Dr Ste 202, Woodbury, Minnesota |
| Authorized Official Name and Position | Tim Horton (OWNER) |
| Authorized Official Contact | 6513270152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peoplefirst Clinic Pllc 652 Bielenberg Dr Ste 202 Woodbury MN 55125-4480 Ph: (651) 317-3902 | Peoplefirst Clinic Pllc 652 Bielenberg Dr Ste 202 Woodbury MN 55125-4480 Ph: (651) 317-3902 |
| NPI Number | 1790567477 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Medicare PECOS PAC ID | 4385082700 |
|---|---|
| Medicare Enrollment ID | O20240404001982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790567477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tim William Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700551504 PECOS PAC ID: 3971992561 Enrollment ID: I20211122000216 |
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