| Johnson Healthcare Associates Inc | |
|
2904 Johnson St Ne Minneapolis MN 55418-2234 | |
| (612) 782-0900 | |
| (612) 788-4930 |
| Full Name | Johnson Healthcare Associates Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2904 Johnson St Ne, Minneapolis, Minnesota |
| Authorized Official Name and Position | Art Fretag (BUSINESS MANAGER) |
| Authorized Official Contact | 6127820900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Healthcare Associates Inc 2904 Johnson St Ne Minneapolis MN 55418-2234 Ph: (612) 782-0900 | Johnson Healthcare Associates Inc 2904 Johnson St Ne Minneapolis MN 55418-2234 Ph: (612) 782-0900 |
| NPI Number | 1407819022 |
|---|---|
| Provider Enumeration Date | 04/07/2006 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407819022 | NPI | - | NPPES |
| 0111978 | Other | MN | MEDICA |
| 1120003 | Other | MN | METROPOLITAN HEALTH PLAN |
| 70296 | Other | MN | HEALTHPARTNERS |
| 01023902 | Other | MN | PREFERRED ONE |
| 145130800 | Medicaid | MN | |
| P477 | Other | MN | UCARE |
| 55N80JO | Other | MN | BLUES |
| 038417100 | Medicaid | MN | |
| CB6880 | Other | MN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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