<unavail> in Blaine, MN - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Blaine, Minnesota. The current practice location for is 10705 Town Square Dr Ne Ste 100, Blaine, Minnesota. For appointments, you can reach them via phone at (763) 236-5400. The mailing address for is Po Box 43, Mail Route 10860, Minneapolis, Minnesota and phone number is (612) 262-1166.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1932405388. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (763) 236-5400.

Contact Information


	10705 Town Square Dr Ne Ste 100 Blaine MN 55449-8185
	(763) 236-5400
	(763) 236-5350

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	10705 Town Square Dr Ne Ste 100, Blaine, Minnesota
Authorized Official Name and Position	Dominica Tallarico (COO)
Authorized Official Contact	6122222222
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 43 Mail Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166	10705 Town Square Dr Ne Ste 100 Blaine MN 55449-8185 Ph: (763) 236-5400

NPI Details:

NPI Number	1932405388
Provider Enumeration Date	02/02/2011
Last Update Date	03/25/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	4587573613
Medicare Enrollment ID	O20120301000111

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932405388	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Blaine, MN

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- Medicare Primary Care in Blaine, MN