| 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 |
|---|---|
| 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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