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. |
---|---|
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 |
---|---|
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 |
---|---|
Provider Enumeration Date | 11/16/2006 |
Last Update Date | 01/10/2020 |
Medicare PECOS PAC ID | 5799696621 |
---|---|
Medicare Enrollment ID | O20030716000028 |
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 |
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 |