Hope Pediatrics Pllc | |
219 Brooks Avenue North Thief River Falls MN 56701 | |
(218) 681-4673 | |
Not Available |
Full Name | Hope Pediatrics Pllc |
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Speciality | Clinic/Center |
Location | 219 Brooks Avenue North, Thief River Falls, Minnesota |
Authorized Official Name and Position | Suresh Sreedharan (PHYSICIAN) |
Authorized Official Contact | 2186814673 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hope Pediatrics Pllc 219 Brooks Avenue North Thief River Falls MN 56701 Ph: (218) 681-4673 | Hope Pediatrics Pllc 219 Brooks Avenue North Thief River Falls MN 56701 Ph: (218) 681-4673 |
NPI Number | 1467856658 |
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Provider Enumeration Date | 10/16/2014 |
Last Update Date | 01/15/2015 |
Medicare PECOS PAC ID | 0840512364 |
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Medicare Enrollment ID | O20141211000359 |
Identifier | Type | State | Issuer |
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1467856658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 47461 (Minnesota) | Primary |
Provider Name | Suresh Sreedharan |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1285665067 PECOS PAC ID: 7315992393 Enrollment ID: I20050314000494 |
Riverview Healthcare Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 Vanrooy Dr, Thief River Falls, MN 56701 Phone: 218-416-5770 | |