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1150 Montreal Ave Suite 101 Saint Paul MN 55116-2390 | |
(651) 293-1497 | |
(651) 641-1137 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1150 Montreal Ave, Saint Paul, Minnesota |
Authorized Official Name and Position | Candace Lee Salmi (OWNER) |
Authorized Official Contact | 6512931497 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1150 Montreal Ave Suite 101 Saint Paul MN 55116-2390 Ph: (651) 293-1497 | 1150 Montreal Ave Suite 101 Saint Paul MN 55116-2390 Ph: (651) 293-1497 |
NPI Number | 1194999151 |
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Provider Enumeration Date | 04/21/2008 |
Last Update Date | 02/09/2016 |
Medicare PECOS PAC ID | 5193624781 |
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Medicare Enrollment ID | O20040102000401 |
Identifier | Type | State | Issuer |
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1194999151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | 3825 (Minnesota) | Primary |
Provider Name | Candace L Salmi |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1447309547 PECOS PAC ID: 6002834967 Enrollment ID: I20051109000362 |
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125 |