| Bloomington Lake Clinic, Ltd | |
|
7901 Xerxes Ave S Ste 116 Bloomington MN 55431-1200 | |
| (952) 888-2024 | |
| (952) 888-3985 |
| Full Name | Bloomington Lake Clinic, Ltd |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7901 Xerxes Ave S Ste 116, Bloomington, Minnesota |
| Authorized Official Name and Position | Debra J Barger (ASSISTANT ADMINISTRATOR) |
| Authorized Official Contact | 6122772165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomington Lake Clinic, Ltd 7901 Xerxes Ave S Ste 116 Bloomington MN 55431-1200 Ph: (952) 888-2024 | Bloomington Lake Clinic, Ltd 7901 Xerxes Ave S Ste 116 Bloomington MN 55431-1200 Ph: (952) 888-2024 |
| NPI Number | 1215090501 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 04/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215090501 | NPI | - | NPPES |
| 1713 | Other | MN | HEALTH PARTNERS |
| 302510100 | Medicaid | MN | |
| C406 | Other | MN | UCARE MINNESOTA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 23 (Minnesota) | Primary |
Allina Health Bloomington Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7920 Old Cedar Ave S, Bloomington, MN 55425 Phone: 952-428-1800 Fax: 952-428-1723 | |
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Pacific Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 E 86th St # 410, Bloomington, MN 55425 Phone: 612-987-8534 | |
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M Health Fairview Clinic - Xerxes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7901 Xerxes Ave S, Suite 116, Bloomington, MN 55431 Phone: 952-888-2024 Fax: 952-888-3985 | |
4seasons Comfortcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4470 W 78th Street Cir Ste 231, Bloomington, MN 55435 Phone: 720-317-6011 | |
Northwestern Health Sciences University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2501 W 84th St, Bloomington, MN 55431 Phone: 952-888-4777 Fax: 952-886-7590 |