St. Paul Capital Area Irts Llc | |
615 Park St Saint Paul MN 55103-1826 | |
(612) 470-6531 | |
Not Available |
Full Name | St. Paul Capital Area Irts Llc |
---|---|
Speciality | Clinic/center |
Location | 615 Park St, Saint Paul, Minnesota |
Authorized Official Name and Position | Bibi Abdalla (OWNER) |
Authorized Official Contact | 6124706531 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. Paul Capital Area Irts Llc 615 Park St Saint Paul MN 55103-1826 Ph: () - | St. Paul Capital Area Irts Llc 615 Park St Saint Paul MN 55103-1826 Ph: (612) 470-6531 |
NPI Number | 1952118127 |
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Provider Enumeration Date | 12/11/2024 |
Last Update Date | 12/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952118127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125 |