| Rem Central Lakes, Inc. | |
|
1401 1st St Ne Sartell MN 56377-2468 | |
| (320) 259-6022 | |
| Not Available |
| Full Name | Rem Central Lakes, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1401 1st St Ne, Sartell, Minnesota |
| Authorized Official Name and Position | Brett Ian Cohen (COO) |
| Authorized Official Contact | 8003885150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rem Central Lakes, Inc. 6600 France Ave S Edina MN 55435-1805 Ph: (952) 922-6776 | Rem Central Lakes, Inc. 1401 1st St Ne Sartell MN 56377-2468 Ph: (320) 259-6022 |
| NPI Number | 1740304187 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 03/04/2023 |
| Certification Date | 03/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740304187 | NPI | - | NPPES |
| 370602800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CERTIFICATION ONLY (Minnesota) | Primary |
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