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15 Eighth Ave. S. Hopkins MN 55343-7667 | |
| (952) 474-3251 | |
| (952) 767-0815 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 15 Eighth Ave. S., Hopkins, Minnesota |
| Authorized Official Name and Position | Megan Lichty (DIRECTOR OF ADMIN. & OPS.) |
| Authorized Official Contact | 9527670928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
15 Eighth Ave. S. Hopkins MN 55343-7667 Ph: (952) 474-3251 | 15 Eighth Ave. S. Hopkins MN 55343-7667 Ph: (952) 474-3251 |
| NPI Number | 1386951317 |
|---|---|
| Provider Enumeration Date | 09/13/2010 |
| Last Update Date | 12/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386951317 | NPI | - | NPPES |
| 984772 | Other | MN | UNITED HEALTHCARE |
| 438964600 | Other | MN | MINNESOTA HEALTH CARE PROGRAM |
| OAF89WE | Other | MN | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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