| Healtheast Roselawn Clinic | |
|
1983 Sloan Pl Suite 1 Saint Paul MN 55117-2087 | |
| (651) 326-5700 | |
| (651) 326-5715 |
| Full Name | Healtheast Roselawn Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1983 Sloan Pl, Saint Paul, Minnesota |
| Authorized Official Name and Position | Doug Davenport (CFO) |
| Authorized Official Contact | 6512322250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healtheast Roselawn Clinic 1983 Sloan Pl Suite 1 Saint Paul MN 55117-2087 Ph: (651) 326-5700 | Healtheast Roselawn Clinic 1983 Sloan Pl Suite 1 Saint Paul MN 55117-2087 Ph: (651) 326-5700 |
| NPI Number | 1871549741 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 05/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871549741 | NPI | - | NPPES |
| 0841630001 | Other | MN | MEDICARE PTAN |
| 095010600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Saint Paul Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Saint Clair Ave, Saint Paul, MN 55105 Phone: 651-291-1269 Fax: 651-291-0957 | |
Guadalupe Alternative Program(gap) Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 381 Robie St E, Saint Paul, MN 55107 Phone: 651-602-7976 Fax: 651-602-7977 | |
East Metro - North St. Paul Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 Centennial Dr, Suite 100, Saint Paul, MN 55109 Phone: 651-777-7414 Fax: 651-748-5839 | |
Family Health & Wellness Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4520 Centerville Rd, Saint Paul, MN 55127 Phone: 651-348-8851 | |
Metropolitan Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Exchange St W, Suite # 420, Saint Paul, MN 55102 Phone: 651-232-4125 Fax: 651-232-4127 | |
Central High School Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 275 Lexington Pkwy N, Saint Paul, MN 55104 Phone: 651-632-2194 Fax: 651-632-2195 | |
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 |