| Essential Care Centers Corp | |
|
3101 Irving Ave S Minneapolis MN 55408-2516 | |
| (952) 769-9221 | |
| Not Available |
| Full Name | Essential Care Centers Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 3101 Irving Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Sam Kpahn (OWNER) |
| Authorized Official Contact | 9527699221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Care Centers Corp 3101 Irving Ave S Minneapolis MN 55408-2516 Ph: () - | Essential Care Centers Corp 3101 Irving Ave S Minneapolis MN 55408-2516 Ph: (952) 769-9221 |
| NPI Number | 1942986617 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 07/21/2023 |
| Medicare PECOS PAC ID | 7416398839 |
|---|---|
| Medicare Enrollment ID | O20240515003292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942986617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sam Kpahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669019378 PECOS PAC ID: 6002242708 Enrollment ID: I20200128001979 |
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