| Rooted Health Pllc | |
|
3620 Bemidji Ave N Bemidji MN 56601-4333 | |
| (320) 249-6541 | |
| Not Available |
| Full Name | Rooted Health Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3620 Bemidji Ave N, Bemidji, Minnesota |
| Authorized Official Name and Position | Jenna M Gross (NURSE PRACTITIONER) |
| Authorized Official Contact | 3202496541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Health Pllc 3620 Bemidji Ave N Bemidji MN 56601-4333 Ph: (320) 249-6541 | Rooted Health Pllc 3620 Bemidji Ave N Bemidji MN 56601-4333 Ph: (320) 249-6541 |
| NPI Number | 1679334817 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679334817 | NPI | - | NPPES |
| 1629451869 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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