| Alabaster Healthcare Llc | |
|
2854 Highway 55 Ste 130 Eagan MN 55121-1447 | |
| (615) 438-2711 | |
| Not Available |
| Full Name | Alabaster Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2854 Highway 55 Ste 130, Eagan, Minnesota |
| Authorized Official Name and Position | Eseoghene Abokede (CEO) |
| Authorized Official Contact | 6123459900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alabaster Healthcare Llc 1160 Vierling Dr E # 314 Shakopee MN 55379-4313 Ph: (612) 345-9900 | Alabaster Healthcare Llc 2854 Highway 55 Ste 130 Eagan MN 55121-1447 Ph: (615) 438-2711 |
| NPI Number | 1407560113 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 08/07/2024 |
| Medicare PECOS PAC ID | 9234595356 |
|---|---|
| Medicare Enrollment ID | O20230516002145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407560113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eseoghene Bosede Abokede |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780027938 PECOS PAC ID: 6901105840 Enrollment ID: I20210127002851 |
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