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Contact Information

MINNEOSTA WELLNESS CENTER LLC
808 BERRY ST APT 192
SAINT PAUL, MN55114-1082
 Phone: 612-618-5841
 Fax: 651-646-0950
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for MINNEOSTA WELLNESS CENTER LLC

NPI Number 1821533779
LBN Legal business name MINNEOSTA WELLNESS CENTER LLC
Authorized official UBAH SHIRWA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/02/2017
Last updated 01/02/2017 - About 9 years ago
Identifiers
MN License # 1083995-1-HCBS
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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