Endeavors | |
1009 E 14th St Minneapolis MN 55404-1314 | |
(612) 348-5553 | |
Not Available |
Full Name | Endeavors |
---|---|
Speciality | Clinic/Center |
Location | 1009 E 14th St, Minneapolis, Minnesota |
Authorized Official Name and Position | Stephanie Abel (AREA MANAGER) |
Authorized Official Contact | 6123488824 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Endeavors 525 Portland Ave # Mc963 Minneapolis MN 55415-1533 Ph: (612) 348-5553 | Endeavors 1009 E 14th St Minneapolis MN 55404-1314 Ph: (612) 348-5553 |
NPI Number | 1962147413 |
---|---|
Provider Enumeration Date | 04/29/2022 |
Last Update Date | 05/18/2022 |
Medicare PECOS PAC ID | 7911892849 |
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Medicare Enrollment ID | O20221010001050 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962147413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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