| |
305 E Nicollet Blvd Suite 200 Burnsville MN 55337-8327 | |
(952) 223-3400 | |
(952) 223-3405 |
Full Name | |
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Speciality | Clinic/Center |
Location | 305 E Nicollet Blvd, Burnsville, Minnesota |
Authorized Official Name and Position | Patrick Nolan (CFO) |
Authorized Official Contact | 6513123105 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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200 University Ave E Saint Paul MN 55101-2507 Ph: (651) 291-2848 | 305 E Nicollet Blvd Suite 200 Burnsville MN 55337-8327 Ph: (952) 223-3400 |
NPI Number | 1740349042 |
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Provider Enumeration Date | 12/06/2006 |
Last Update Date | 12/13/2019 |
Medicare PECOS PAC ID | 0547169211 |
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Medicare Enrollment ID | O20100930035868 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740349042 | NPI | - | NPPES |
41683100 | Medicaid | WI | |
578182000 | Medicaid | MN | |
366138000 | Medicaid | MN | |
11003700 | Medicaid | WI | |
1111HGI | Other | BLUE CROSS BLUE SHIELD |
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