Eminence Healthcare Llc | |
150 Red Rock Rd Newport MN 55055-1830 | |
(651) 358-9573 | |
Not Available |
Full Name | Eminence Healthcare Llc |
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Speciality | Clinic/center |
Location | 150 Red Rock Rd, Newport, Minnesota |
Authorized Official Name and Position | Donnie Ray Wallace (OWNER) |
Authorized Official Contact | 6513589573 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eminence Healthcare Llc 150 Red Rock Rd Newport MN 55055-1830 Ph: (651) 358-9573 | Eminence Healthcare Llc 150 Red Rock Rd Newport MN 55055-1830 Ph: (651) 358-9573 |
NPI Number | 1063242709 |
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Provider Enumeration Date | 08/06/2024 |
Last Update Date | 08/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063242709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |