Boynton Health Service | |
410 Church St Se Minneapolis MN 55455-0340 | |
(612) 625-8400 | |
(612) 625-1434 |
Full Name | Boynton Health Service |
---|---|
Speciality | Clinic/center - Student Health |
Location | 410 Church St Se, Minneapolis, Minnesota |
Authorized Official Name and Position | Carl B. Anderson (DIRECTOR AND CHIEF HEALTH OFFICER) |
Authorized Official Contact | 6126255992 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Boynton Health Service 410 Church Street Se Minneapolis MN 55455-0346 Ph: (612) 625-8400 | Boynton Health Service 410 Church St Se Minneapolis MN 55455-0340 Ph: (612) 625-8400 |
NPI Number | 1013137355 |
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Provider Enumeration Date | 04/27/2007 |
Last Update Date | 10/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013137355 | NPI | - | NPPES |
322012500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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