| Progress Valley, Inc. | |
|
1100 E 80th St Bloomington MN 55420-1426 | |
| (612) 869-3223 | |
| Not Available |
| Full Name | Progress Valley, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1100 E 80th St, Bloomington, Minnesota |
| Authorized Official Name and Position | Kyle William Ross (DIRECTOR OF MENTAL HEALTH) |
| Authorized Official Contact | 6128693223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progress Valley, Inc. 1100 E 80th St Bloomington MN 55420-1426 Ph: (612) 869-3223 | Progress Valley, Inc. 1100 E 80th St Bloomington MN 55420-1426 Ph: (612) 869-3223 |
| NPI Number | 1356117964 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356117964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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