Action For East African People Afeap | |
3701 W Old Shakopee Rd Bloomington MN 55431-3555 | |
(612) 458-2824 | |
Not Available |
Full Name | Action For East African People Afeap |
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Speciality | Clinic/Center |
Location | 3701 W Old Shakopee Rd, Bloomington, Minnesota |
Authorized Official Name and Position | Ayan Abukar (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6124586830 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Action For East African People Afeap 3701 W Old Shakopee Rd Bloomington MN 55431-3555 Ph: (612) 458-6830 | Action For East African People Afeap 3701 W Old Shakopee Rd Bloomington MN 55431-3555 Ph: (612) 458-2824 |
NPI Number | 1598225328 |
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Provider Enumeration Date | 03/20/2019 |
Last Update Date | 03/20/2019 |
Medicare PECOS PAC ID | 4587907225 |
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Medicare Enrollment ID | O20190520002312 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598225328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Nelsie Toussaint |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437624608 PECOS PAC ID: 8921345877 Enrollment ID: I20190130001518 |
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