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1010 Currie Ave Minneapolis MN 55403-1309 | |
(612) 348-5553 | |
(612) 377-6299 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1010 Currie Ave, Minneapolis, Minnesota |
Authorized Official Name and Position | Stephanie Abel (AREA MANAGER) |
Authorized Official Contact | 6123488824 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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525 Portland Ave # Mc963 Minneapolis MN 55415-1533 Ph: (612) 348-5553 | 1010 Currie Ave Minneapolis MN 55403-1309 Ph: (612) 348-5553 |
NPI Number | 1083185193 |
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Provider Enumeration Date | 12/16/2018 |
Last Update Date | 12/19/2018 |
Medicare PECOS PAC ID | 7911892849 |
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Medicare Enrollment ID | O20190205002099 |
Identifier | Type | State | Issuer |
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1083185193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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