ALBERTVILLE - ST. MICHAEL CLINIC; NPI #1285804336

Contact Information

ALBERTVILLE - ST. MICHAEL CLINIC

11091 JASON AVE NE
ALBERTVILLE, MN 55301-4699

Phone: 763-684-8300
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for ALBERTVILLE - ST. MICHAEL CLINIC

NPI Number 1285804336

LBN Legal business name ALBERTVILLE - ST. MICHAEL CLINIC

Authorized official KENNY HEINE - (VP OF OPERATIONS)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 03/05/2008

Last updated 07/14/2015 - About 11 years ago

Identifiers

License #

53129

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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ALBERTVILLE - ST. MICHAEL CLINIC

Contact Information

Specialty

Non-Pharmacy Dispensing Site

NPI Profile & details for ALBERTVILLE - ST. MICHAEL CLINIC

Reviews for ALBERTVILLE - ST. MICHAEL CLINIC