<unavail> in St Paul, MN - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in St Paul, Minnesota. The current practice location for is 495 Rice Street, St Paul, Minnesota. For appointments, you can reach them via phone at (651) 487-8531. The mailing address for is 153 Cesar Chavez St, Saint Paul, Minnesota and phone number is (651) 602-7500.

is licensed to practice in Minnesota (license number ). The clinic also participates in the medicare program and its NPI number is 1457475543. 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 (651) 487-8531.

Contact Information


	495 Rice Street St Paul MN 55117-3864
	(651) 487-8531
	(651) 487-8532

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	495 Rice Street, St Paul, Minnesota
Authorized Official Name and Position	Reuben Moore (CEO)
Authorized Official Contact	6516027500
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
153 Cesar Chavez St Saint Paul MN 55107-2226 Ph: (651) 602-7500	495 Rice Street St Paul MN 55117-3864 Ph: (651) 487-8531

NPI Details:

NPI Number	1457475543
Provider Enumeration Date	03/16/2007
Last Update Date	05/15/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	2062306434
Medicare Enrollment ID	O20061117000453

Medical Identifiers

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

Identifier	Type	State	Issuer
1457475543	NPI	-	NPPES
252459700	Medicaid	MN
103124	Other	MN	UCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(Minnesota)	Primary

Reviews and Comments

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- Medicare Primary Care in St Paul, MN