| Sha'arim Inc | |
|
2851 Hedberg Dr Minnetonka MN 55305-3406 | |
| (952) 303-5276 | |
| Not Available |
| Full Name | Sha'arim Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2851 Hedberg Dr, Minnetonka, Minnesota |
| Authorized Official Name and Position | Chad Silverman (COMPTROLLER) |
| Authorized Official Contact | 6122207222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sha'arim Inc 2851 Hedberg Dr Minnetonka MN 55305-3406 Ph: (952) 303-5276 | Sha'arim Inc 2851 Hedberg Dr Minnetonka MN 55305-3406 Ph: (952) 303-5276 |
| NPI Number | 1528715026 |
|---|---|
| Provider Enumeration Date | 03/04/2022 |
| Last Update Date | 03/04/2022 |
| Certification Date | 03/04/2022 |
| Medicare PECOS PAC ID | 6204204688 |
|---|---|
| Medicare Enrollment ID | O20221115003000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528715026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Nechama Layah Shagalow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982372256 PECOS PAC ID: 7911393129 Enrollment ID: I20220414001873 |
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