| Tasks Unlimited Inc. | |
|
2419 Nicollet Ave Minneapolis MN 55404-3450 | |
| (612) 871-3320 | |
| (612) 871-0432 |
| Full Name | Tasks Unlimited Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2419 Nicollet Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Trevor B Johnson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6128713320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tasks Unlimited Inc. 2419 Nicollet Ave Minneapolis MN 55404-3450 Ph: (612) 871-3320 | Tasks Unlimited Inc. 2419 Nicollet Ave Minneapolis MN 55404-3450 Ph: (612) 871-3320 |
| NPI Number | 1144368457 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Medicare PECOS PAC ID | 1153357017 |
|---|---|
| Medicare Enrollment ID | O20050712000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144368457 | NPI | - | NPPES |
| 477288100 | Medicaid | MN | |
| GROUP# 099J2-TA | Other | MN | BLUE CROSS BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Dean K Knudson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215980008 PECOS PAC ID: 6204815335 Enrollment ID: I20040714000362 |
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