Central High School Clinic | |
275 Lexington Pkwy N Saint Paul MN 55104-5402 | |
(651) 632-2194 | |
(651) 632-2195 |
Full Name | Central High School Clinic |
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Speciality | Clinic/Center |
Location | 275 Lexington Pkwy N, Saint Paul, Minnesota |
Authorized Official Name and Position | Reuben Moore (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6516027500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central High School Clinic 153 Cesar Chavez St Saint Paul MN 55107-2226 Ph: (651) 602-7500 | Central High School Clinic 275 Lexington Pkwy N Saint Paul MN 55104-5402 Ph: (651) 632-2194 |
NPI Number | 1023201811 |
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Provider Enumeration Date | 08/24/2007 |
Last Update Date | 05/15/2024 |
Medicare PECOS PAC ID | 2062306434 |
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Medicare Enrollment ID | O20061117000071 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023201811 | NPI | - | NPPES |
103124 | Other | MN | UCARE |
542748700 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Minnesota) | Primary |
Saint Paul Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Saint Clair Ave, Saint Paul, MN 55105 Phone: 651-291-1269 Fax: 651-291-0957 | |
Guadalupe Alternative Program(gap) Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 381 Robie St E, Saint Paul, MN 55107 Phone: 651-602-7976 Fax: 651-602-7977 | |
East Metro - North St. Paul Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 Centennial Dr, Suite 100, Saint Paul, MN 55109 Phone: 651-777-7414 Fax: 651-748-5839 | |
Family Health & Wellness Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4520 Centerville Rd, Saint Paul, MN 55127 Phone: 651-348-8851 | |
Metropolitan Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Exchange St W, Suite # 420, Saint Paul, MN 55102 Phone: 651-232-4125 Fax: 651-232-4127 | |
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 |