| Group Health Plan Inc | |
|
15245 Bluebird St Nw Andover MN 55304-3538 | |
| (763) 587-4600 | |
| (763) 587-4615 |
| Full Name | Group Health Plan Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 15245 Bluebird St Nw, Andover, Minnesota |
| Authorized Official Name and Position | Penny D Cermack (CFO) |
| Authorized Official Contact | 9528837918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Group Health Plan Inc 8170 33rd Ave S Po Box 1309 Ms 21110q Minneapolis MN 55425-4516 Ph: (952) 883-7469 | Group Health Plan Inc 15245 Bluebird St Nw Andover MN 55304-3538 Ph: (763) 587-4600 |
| NPI Number | 1194051151 |
|---|---|
| Provider Enumeration Date | 10/27/2009 |
| Last Update Date | 08/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194051151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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