Voyage Healthcare | |
9201 W Broadway Ave Ste 601 Brooklyn Park MN 55445-1924 | |
(763) 587-7900 | |
(763) 587-7066 |
Full Name | Voyage Healthcare |
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Speciality | Clinic/Center |
Location | 9201 W Broadway Ave Ste 601, Brooklyn Park, Minnesota |
Authorized Official Name and Position | Scott Richard Colson (PRESIDENT) |
Authorized Official Contact | 7635877900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Voyage Healthcare Po Box 16800 St Louis Park MN 55416-0800 Ph: (763) 587-7900 | Voyage Healthcare 9201 W Broadway Ave Ste 601 Brooklyn Park MN 55445-1924 Ph: (763) 587-7900 |
NPI Number | 1407011760 |
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Provider Enumeration Date | 07/25/2008 |
Last Update Date | 12/23/2022 |
Medicare PECOS PAC ID | 2769384205 |
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Medicare Enrollment ID | O20100930091493 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407011760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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