| Indigo Foundation Inc | |
|
510 25th Ave N Ste B1-119 Saint Cloud MN 56303-3222 | |
| (612) 703-5479 | |
| Not Available |
| Full Name | Indigo Foundation Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 510 25th Ave N Ste B1-119, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Hibo Omar Artan (OWNER) |
| Authorized Official Contact | 6127035479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indigo Foundation Inc 510 25th Ave N Ste B1-119 Saint Cloud MN 56303-3222 Ph: () - | Indigo Foundation Inc 510 25th Ave N Ste B1-119 Saint Cloud MN 56303-3222 Ph: (612) 703-5479 |
| NPI Number | 1205670510 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 06/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205670510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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