Althing Llc | |
1900 8th Ave Nw Austin MN 55912-1473 | |
(612) 801-4542 | |
Not Available |
Full Name | Althing Llc |
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Speciality | Clinic/Center |
Location | 1900 8th Ave Nw, Austin, Minnesota |
Authorized Official Name and Position | Mathew Martin King Johnson (CEO) |
Authorized Official Contact | 6128014542 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Althing Llc 1502 London Rd Ste 220 Duluth MN 55812-1628 Ph: () - | Althing Llc 1900 8th Ave Nw Austin MN 55912-1473 Ph: (612) 801-4542 |
NPI Number | 1548857394 |
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Provider Enumeration Date | 12/28/2020 |
Last Update Date | 04/19/2022 |
Medicare PECOS PAC ID | 9537538160 |
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Medicare Enrollment ID | O20221202002878 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548857394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Provider Name | Lori A Aasen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326336405 PECOS PAC ID: 6305017104 Enrollment ID: I20110928000383 |
Provider Name | Katherine L Trelstad-andrist |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255742003 PECOS PAC ID: 9537383773 Enrollment ID: I20140610001160 |
Provider Name | Jill S Hansen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881890754 PECOS PAC ID: 5496843872 Enrollment ID: I20180820003110 |
Provider Name | Therese Searle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942924667 PECOS PAC ID: 1850768318 Enrollment ID: I20221114000691 |
Provider Name | Asma Khursheed Khan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477996775 PECOS PAC ID: 1153600416 Enrollment ID: I20221228002934 |
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