Anne Pierce Program | |
980 9th Ave S Saint Paul Park MN 55071-1436 | |
(651) 290-6814 | |
(651) 290-6818 |
Full Name | Anne Pierce Program |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 980 9th Ave S, Saint Paul Park, Minnesota |
Authorized Official Name and Position | Mavis Carol Brehm (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6516027536 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Anne Pierce Program 153 Cesar Chavez St Saint Paul MN 55107-2226 Ph: (651) 222-1816 | Anne Pierce Program 980 9th Ave S Saint Paul Park MN 55071-1436 Ph: (651) 290-6814 |
NPI Number | 1881718971 |
---|---|
Provider Enumeration Date | 03/16/2007 |
Last Update Date | 06/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881718971 | NPI | - | NPPES |
280002000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Minnesota) | Primary |