Open Cities Health Center, Inc. | |
409 N Dunlap Street St. Paul MN 55104-4201 | |
(651) 290-9200 | |
(651) 290-9210 |
Full Name | Open Cities Health Center, Inc. |
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Speciality | Clinic/Center |
Location | 409 N Dunlap Street, St. Paul, Minnesota |
Authorized Official Name and Position | Frances Green (HR) |
Authorized Official Contact | 6512902111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Open Cities Health Center, Inc. 409 N Dunlap Street St. Paul MN 55104-4201 Ph: (651) 290-9200 | Open Cities Health Center, Inc. 409 N Dunlap Street St. Paul MN 55104-4201 Ph: (651) 290-9200 |
NPI Number | 1225101405 |
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Provider Enumeration Date | 11/16/2006 |
Last Update Date | 01/10/2020 |
Medicare PECOS PAC ID | 5799696621 |
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Medicare Enrollment ID | O20031110000648 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225101405 | NPI | - | NPPES |
666253600 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 3432431 (Minnesota) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Mark Garnett |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1497976062 PECOS PAC ID: 5991603664 Enrollment ID: I20031219000667 |
Provider Name | Ghazala P Usman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1396870747 PECOS PAC ID: 1052212594 Enrollment ID: I20040116000764 |
Provider Name | Bruce D Mccarthy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225094790 PECOS PAC ID: 0244206597 Enrollment ID: I20040908000530 |
Provider Name | Michael R Kamp |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073581179 PECOS PAC ID: 9436107554 Enrollment ID: I20050105000857 |
Provider Name | James D Nordin |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1336117407 PECOS PAC ID: 8527005651 Enrollment ID: I20050411000973 |
Provider Name | Samuel Y Boadu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063517100 PECOS PAC ID: 0941207609 Enrollment ID: I20061023000424 |
Provider Name | Jessica L Schara |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821251760 PECOS PAC ID: 9931274438 Enrollment ID: I20090811000490 |
Provider Name | Aszani Stoddard |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1841297587 PECOS PAC ID: 9638356645 Enrollment ID: I20110531000316 |
Provider Name | Thomas E Spray |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1508922212 PECOS PAC ID: 6507160710 Enrollment ID: I20160209001673 |
Provider Name | Nicole Rochelle Terlouw |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033438890 PECOS PAC ID: 6507036688 Enrollment ID: I20180814000568 |
Provider Name | Kaitlyn Huebsch Hollenbach |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689154429 PECOS PAC ID: 1254769532 Enrollment ID: I20200319002880 |
Provider Name | Zadok Nampala |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548723364 PECOS PAC ID: 0547676959 Enrollment ID: I20210310000955 |
Provider Name | Rachel Marie Freyberger |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1720576788 PECOS PAC ID: 9830584572 Enrollment ID: I20220316002896 |
Provider Name | Rachel A Hanus |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1184140402 PECOS PAC ID: 5395105746 Enrollment ID: I20230717001613 |
Provider Name | Helen Kim |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1073828620 PECOS PAC ID: 4688847908 Enrollment ID: I20231220000677 |
Provider Name | Ann Elizabeth Groonwald |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1497213151 PECOS PAC ID: 2163872151 Enrollment ID: I20240103002952 |
Provider Name | Crystal Ford |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1326559576 PECOS PAC ID: 9537575345 Enrollment ID: I20240229001312 |
Hamline University-counseling And Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1513 Englewood Ave, St. Paul, MN 55104 Phone: 651-523-2204 Fax: 651-523-2820 | |
Gillette Children's Professional Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 East University Ave, St. Paul, MN 55101 Phone: 651-291-2848 Fax: 651-325-2250 | |
Open Cities Health Center, Inc. - Northend Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 916 Rice Street, St. Paul, MN 55117 Phone: 651-290-9200 Fax: 651-290-9210 | |
Open Cities Health Center, Inc. - Rice Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 Rice Street, St. Paul, MN 55117 Phone: 651-290-9200 Fax: 651-290-9210 |