| Pediatric And Young Adult Medicine, Pa | |
|
3470 Washington Dr Suite 201 Eagan MN 55122-1355 | |
| (651) 256-6706 | |
| (651) 256-6766 |
| Full Name | Pediatric And Young Adult Medicine, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3470 Washington Dr, Eagan, Minnesota |
| Authorized Official Name and Position | Terri M Joseph (OFFICE MANAGER) |
| Authorized Official Contact | 6512566706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric And Young Adult Medicine, Pa 1804 7th St W Suite 200 Saint Paul MN 55116-2300 Ph: (651) 256-6706 | Pediatric And Young Adult Medicine, Pa 3470 Washington Dr Suite 201 Eagan MN 55122-1355 Ph: (651) 256-6706 |
| NPI Number | 1205078300 |
|---|---|
| Provider Enumeration Date | 04/03/2009 |
| Last Update Date | 12/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205078300 | NPI | - | NPPES |
| 1104806165 | Medicaid | MN | |
| 1245210210 | Medicaid | MN | |
| 1881057065 | Medicaid | MN | |
| 1083694046 | Medicaid | MN | |
| 1861558835 | Medicaid | MN | |
| 1386991339 | Medicaid | MN | |
| 1245210095 | Medicaid | MN | |
| 1477870921 | Medicaid | MN | |
| 1912987900 | Medicaid | MN | |
| 1497735419 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 154 (Minnesota) | Primary |
Helping Hands Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4660 Slater Rd, Suite 140, Eagan, MN 55122 Phone: 651-452-3900 | |
M Health Fairview Clinic - Eagan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3305 Central Park Village Dr, Suite 200, Eagan, MN 55121 Phone: 651-406-8860 Fax: 651-688-7864 | |
Hill Ventures, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 Diffley Rd Ste 600, Eagan, MN 55123 Phone: 877-442-4476 | |
Mncome, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1185 Town Centre Dr, Suite 220, Eagan, MN 55123 Phone: 651-379-1600 Fax: 651-379-1650 | |
Thriving Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1875 Plaza Dr, Eagan, MN 55122 Phone: 612-716-8019 | |
Premise Health Of Minnesota Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Blue Gentian Rd Ste 1000, Eagan, MN 55121 Phone: 651-447-4936 |