| |
701 Park Ave, P1-finance Minneapolis MN 55415-1623 | |
(612) 873-3000 | |
(612) 904-4259 |
Full Name | |
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Speciality | General Acute Care Hospital |
Location | 701 Park Ave, P1-finance, Minneapolis, Minnesota |
Authorized Official Name and Position | Derrick Hollings (CFO) |
Authorized Official Contact | 6128735340 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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701 Park Ave, P1-finance Minneapolis MN 55415-1623 Ph: (612) 873-3000 | 701 Park Ave, P1-finance Minneapolis MN 55415-1623 Ph: (612) 873-3000 |
NPI Number | 1407897309 |
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Provider Enumeration Date | 06/10/2006 |
Last Update Date | 12/07/2022 |
Medicare PECOS PAC ID | 4789684861 |
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Medicare Enrollment ID | O20070115000195 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407897309 | NPI | - | NPPES |
1020HHE | Other | MN | BLUE CROSS |
157245800 | Medicaid | MN | |
06922HE | Other | MN | BLUE SHIELD |
64788HE | Other | MN | BLUE SHIELD |
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