ADVACARE CLINICS,LTD; NPI #1265614242

Contact Information

ADVACARE CLINICS,LTD

5001 AMERICAN BLVD W
STE.945
BLOOMINGTON, MN 55437-1108

Phone: 952-835-6653
Fax: 952-835-3895
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Acupuncturist	171100000X
Family Medicine	207Q00000X	08	Physician/Family Practice
Internal Medicine	207R00000X	11	Physician/Internal Medicine
Pain Medicine	208VP0000X	72	Physician/Pain Management
Physical Medicine & Rehabilitation	208100000X	25	Physician/Physical Medicine and Rehabilitation
Physical Therapist	225100000X	65	Physical Therapist in Private Practice
Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for ADVACARE CLINICS,LTD

NPI Number 1265614242

LBN Legal business name ADVACARE CLINICS,LTD

Authorized official DENNIS LENSELINK - (CLINIC ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/30/2007

Last updated 10/31/2014 - About 12 years ago

Identifiers

MN	License #	401
MN	Other	24-6608	CMS CERTIFICATION NUMBER PART A (CCN)

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ADVACARE CLINICS,LTD

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NPI Profile & details for ADVACARE CLINICS,LTD

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