Healtheast Rice Street Clinic | |
980 Rice St Saint Paul MN 55117-4949 | |
(651) 326-9020 | |
(651) 326-9021 |
Full Name | Healtheast Rice Street Clinic |
---|---|
Speciality | Clinic/center |
Location | 980 Rice St, Saint Paul, Minnesota |
Authorized Official Name and Position | Maureen Ring (DIRECTOR NETWORK RELATIONS AO) |
Authorized Official Contact | 6126726740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Healtheast Rice Street Clinic 980 Rice St Saint Paul MN 55117-4949 Ph: (651) 326-9020 | Healtheast Rice Street Clinic 980 Rice St Saint Paul MN 55117-4949 Ph: (651) 326-9020 |
NPI Number | 1578503124 |
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Provider Enumeration Date | 06/08/2006 |
Last Update Date | 10/04/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578503124 | NPI | - | NPPES |
485210900 | Medicaid | MN | |
0841630002 | Other | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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