Crescenterra Health Center, Pa | |
245 Prior Ave N Saint Paul MN 55104-5163 | |
(651) 917-3990 | |
(651) 917-3922 |
Full Name | Crescenterra Health Center, Pa |
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Speciality | Clinic/center |
Location | 245 Prior Ave N, Saint Paul, Minnesota |
Authorized Official Name and Position | Mary E Rutherford (PRESIDENT) |
Authorized Official Contact | 6519173990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crescenterra Health Center, Pa 245 Prior Ave N Saint Paul MN 55104-5163 Ph: (651) 917-3990 | Crescenterra Health Center, Pa 245 Prior Ave N Saint Paul MN 55104-5163 Ph: (651) 917-3990 |
NPI Number | 1659509180 |
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Provider Enumeration Date | 06/23/2009 |
Last Update Date | 06/23/2009 |
Identifier | Type | State | Issuer |
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1659509180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 1853 (Minnesota) | Primary |
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 |