Advanced Medical Center, Inc. | |
491 University Ave W Suite# B Saint Paul MN 55103-1936 | |
(651) 771-5778 | |
(651) 771-5775 |
Full Name | Advanced Medical Center, Inc. |
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Speciality | Clinic/center |
Location | 491 University Ave W, Saint Paul, Minnesota |
Authorized Official Name and Position | Peter Thai Yang (CEO) |
Authorized Official Contact | 6517715778 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Medical Center, Inc. 491 University Ave W Suite# B Saint Paul MN 55103-1936 Ph: (651) 771-5778 | Advanced Medical Center, Inc. 491 University Ave W Suite# B Saint Paul MN 55103-1936 Ph: (651) 771-5778 |
NPI Number | 1215187471 |
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Provider Enumeration Date | 09/24/2008 |
Last Update Date | 03/04/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215187471 | NPI | - | NPPES |
529105400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 44150 (Minnesota) | Primary |
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125 |