| Upside Psychiatric | |
|
1526 30th St Nw Bemidji MN 56601-4140 | |
| (218) 751-0887 | |
| Not Available |
| Full Name | Upside Psychiatric |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1526 30th St Nw, Bemidji, Minnesota |
| Authorized Official Name and Position | Miriam Elaine Tell (PMHNP) |
| Authorized Official Contact | 2187665344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upside Psychiatric Po Box 1795 Bemidji MN 56619-1795 Ph: (218) 766-5344 | Upside Psychiatric 1526 30th St Nw Bemidji MN 56601-4140 Ph: (218) 751-0887 |
| NPI Number | 1336443225 |
|---|---|
| Provider Enumeration Date | 01/06/2011 |
| Last Update Date | 12/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336443225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | R127204-4 (Minnesota) | Primary |
| 273R00000X | Psychiatric Unit | R1272044 (Minnesota) | Secondary |
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