| Strong Tower Health Family Clinic | |
|
1686 Suburban Ave St Paul MN 55106-5510 | |
| (612) 701-4301 | |
| (651) 330-1802 |
| Full Name | Strong Tower Health Family Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1686 Suburban Ave, St Paul, Minnesota |
| Authorized Official Name and Position | Latonya J Whitley (PRINCIPAL EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6127014301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Strong Tower Health Family Clinic Po Box 600418 Saint Paul MN 55106-0007 Ph: (612) 701-4301 | Strong Tower Health Family Clinic 1686 Suburban Ave St Paul MN 55106-5510 Ph: (612) 701-4301 |
| NPI Number | 1104480169 |
|---|---|
| Provider Enumeration Date | 04/25/2019 |
| Last Update Date | 04/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104480169 | NPI | - | NPPES |
| 6186078 | Other | MN | MN TAX IDENTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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