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Point of Service

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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Contact Information

MONJUE ALLLEN, PHLEBOTOMY/ MEDICAL
8439 TOLEDO AVE N
BROOKLYN PARK, MN  55443-2200
 Phone: 763-703-0326
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Point of Service

 305S00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1427620699
Entity Organization
Organization subpart 1 Not specified
Enumeration date 07/15/2021
Last updated 07/15/2021 - About 5 years ago
Identifiers
WA License # 1677-158-707-8729
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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