Central Minnesota Dementia Community Action Network | |
3701 12th St N Ste 103 Saint Cloud MN 56303-2253 | |
(320) 640-6726 | |
(320) 774-1238 |
Full Name | Central Minnesota Dementia Community Action Network |
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Speciality | Family Medicine |
Location | 3701 12th St N Ste 103, Saint Cloud, Minnesota |
Authorized Official Name and Position | Patrick Joseph Zook (PRESIDENT) |
Authorized Official Contact | 3204928207 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central Minnesota Dementia Community Action Network 7447 River Bend Ct Sauk Rapids MN 56379-9327 Ph: (320) 492-8207 | Central Minnesota Dementia Community Action Network 3701 12th St N Ste 103 Saint Cloud MN 56303-2253 Ph: (320) 640-6726 |
NPI Number | 1538826771 |
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Provider Enumeration Date | 11/22/2021 |
Last Update Date | 11/22/2021 |
Medicare PECOS PAC ID | 1456747666 |
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Medicare Enrollment ID | O20220414001504 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538826771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Patrick Joseph Zook |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891730115 PECOS PAC ID: 6608851498 Enrollment ID: I20080228000701 |
Provider Name | Katrina V Sand |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801384078 PECOS PAC ID: 9436406840 Enrollment ID: I20180717001046 |
Provider Name | Sara R Devos |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417388794 PECOS PAC ID: 2365815206 Enrollment ID: I20230227000061 |
Aba Community Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Wilson Ave Ne Ste 101, Saint Cloud, MN 56304 Phone: 320-420-3168 Fax: 320-968-1251 | |
Indigo Foundation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 25th Ave N Ste B1-119, Saint Cloud, MN 56303 Phone: 612-703-5479 | |
Memory Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2835 W Saint Germain St, Saint Cloud, MN 56301 Phone: 320-257-1777 Fax: 320-257-1776 | |
New American Adult Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 25th Ave S Ste 104, Saint Cloud, MN 56301 Phone: 612-255-0846 |