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2270 Ford Pkwy Ste 200 Saint Paul MN 55116-3412 | |
(651) 696-5000 | |
(651) 696-5001 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 2270 Ford Pkwy Ste 200, Saint Paul, Minnesota |
Authorized Official Name and Position | Maureen Ring (SYS DIR GOVERNMENT REIMBURSEMENT) |
Authorized Official Contact | 6126726740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | 2270 Ford Pkwy Ste 200 Saint Paul MN 55116-3412 Ph: (651) 696-5000 |
NPI Number | 1326230293 |
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Provider Enumeration Date | 08/15/2007 |
Last Update Date | 05/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326230293 | NPI | - | NPPES |
752820518 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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 |