| M Health Fairview Counseling Forest Lake | |
|
20 Lake St N Ste 210 Forest Lake MN 55025-2511 | |
| (612) 672-6999 | |
| (651) 464-4847 |
| Full Name | M Health Fairview Counseling Forest Lake |
|---|---|
| Speciality | Clinic/center |
| Location | 20 Lake St N, Forest Lake, Minnesota |
| Authorized Official Name and Position | Robert Andrew Mccoy (VP REVENUE MANAGEMENT) |
| Authorized Official Contact | 6126726594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Health Fairview Counseling Forest Lake Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | M Health Fairview Counseling Forest Lake 20 Lake St N Ste 210 Forest Lake MN 55025-2511 Ph: (612) 672-6999 |
| NPI Number | 1386872281 |
|---|---|
| Provider Enumeration Date | 06/30/2009 |
| Last Update Date | 10/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386872281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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