| Cpmg-fridley Plaza Clinic | |
|
6341 University Ave Ne Fridley MN 55432-4946 | |
| (763) 572-5710 | |
| (763) 586-5888 |
| Full Name | Cpmg-fridley Plaza Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6341 University Ave Ne, Fridley, Minnesota |
| Authorized Official Name and Position | Joen V Condon (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7635865839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpmg-fridley Plaza Clinic 6401 University Ave Ne Fridley MN 55432-4341 Ph: (763) 572-5710 | Cpmg-fridley Plaza Clinic 6341 University Ave Ne Fridley MN 55432-4946 Ph: (763) 572-5710 |
| NPI Number | 1336246735 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 11/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336246735 | NPI | - | NPPES |
| 98-66093 | Other | MN | MEDICA URGENT CARE |
| CT1003 | Other | MN | MEDICARE RAILROAD |
| UC0002 | Other | MN | UCARE URGENT CARE |
| 98-01409 | Other | MN | MEDICA CLINIC NUMBER |
| 104021 | Other | MN | UCARE MN |
| 02071BR | Other | MN | BCBS OF MN |
| 610 | Other | MN | HEALTHPARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Minnesota) | Primary |
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