| Memory Care Clinic | |
|
2835 W Saint Germain St Saint Cloud MN 56301-6280 | |
| (320) 257-1777 | |
| (320) 257-1776 |
| Full Name | Memory Care Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 2835 W Saint Germain St, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Sandra L. Wenner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3202571777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memory Care Clinic 2835 W Saint Germain St P.o. Box 7776 Saint Cloud MN 56301-6280 Ph: (320) 257-1777 | Memory Care Clinic 2835 W Saint Germain St Saint Cloud MN 56301-6280 Ph: (320) 257-1777 |
| NPI Number | 1205940863 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 10/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205940863 | NPI | - | NPPES |
| CO4052 | Other | MN | MEDICARE PROVIDER GROUP NUMBER |
| 567188400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1200898-2 (Minnesota) | Primary |
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