Northstar Professional Services | |
924 Rice St Saint Paul MN 55117-4987 | |
(612) 644-8835 | |
Not Available |
Full Name | Northstar Professional Services |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 924 Rice St, Saint Paul, Minnesota |
Authorized Official Name and Position | Patrick William Kemper (MEDICAL DIRECTOR) |
Authorized Official Contact | 6126448835 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northstar Professional Services 924 Rice St Saint Paul MN 55117-4987 Ph: () - | Northstar Professional Services 924 Rice St Saint Paul MN 55117-4987 Ph: (612) 644-8835 |
NPI Number | 1518338268 |
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Provider Enumeration Date | 10/07/2015 |
Last Update Date | 10/20/2015 |
Identifier | Type | State | Issuer |
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1518338268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1952 (Minnesota) | Secondary |
324500000X | Substance Abuse Rehabilitation Facility | 1952 (Minnesota) | Primary |
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125 |