| St. Stephen's Shelter | |
|
2211 Clinton Ave Minneapolis MN 55404-3656 | |
| (612) 348-5553 | |
| (612) 677-6299 |
| Full Name | St. Stephen's Shelter |
|---|---|
| Speciality | Clinic/Center |
| Location | 2211 Clinton 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 |
|---|---|
| St. Stephen's Shelter 525 Portland Ave # Mc963 Minneapolis MN 55415-1533 Ph: (612) 348-5553 | St. Stephen's Shelter 2211 Clinton Ave Minneapolis MN 55404-3656 Ph: (612) 348-5553 |
| NPI Number | 1700357779 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/19/2018 |
| Medicare PECOS PAC ID | 7911892849 |
|---|---|
| Medicare Enrollment ID | O20190211002779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700357779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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