Crystal New Hope Medical Clinic Inc in Crystal - Family Medicine
Crystal New Hope Medical Clinic Inc - NPI 1366628554
Crystal New Hope Medical Clinic Inc is a Family Medicine in Crystal, Minnesota. Crystal New Hope Medical Clinic Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Crystal New Hope Medical Clinic Inc is 1366628554. The last update date is 2013-01-08.
Crystal New Hope Medical Clinic Inc's current location address is 3501 Douglas Dr N, Crystal, Minnesota. You can contact this provider via phone number 7635359601 and fax number 7635355601. The mailing address for Crystal New Hope Medical Clinic Inc is 3501 Douglas Dr N, Crystal, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crystal New Hope Medical Clinic Inc |
|---|---|
| Address | 3501 Douglas Dr N, Crystal, Minnesota |
| Phone Number | 7635359601 |
| Fax Number | 7635355601 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Urbashich M Roxanne |
| Telephone Number | 7635359601 |
NPI Number Detail
| NPI Number | 1366628554 |
|---|---|
| Provider Enumeration Date | 2008-01-17 |
| Last Updated Date | 2013-01-08 |
Provider Mailing Address Detail
| Address | 3501 Douglas Dr N |
|---|---|
| City | Crystal |
| State | Minnesota (MN) |
| Post Code | 554222415 |
| Phone Number | 7635359601 |
| Fax Number | 7635355601 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5733572 | AETNA | ||
| 442672100 | MN | -- | |
| 085N8NE | BLUES | ||
| P044 | UCARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Crystal New Hope Medical Clinic Inc by the Centers for Medicare & Medicaid Services?
The Crystal New Hope Medical Clinic Inc has been issued the NPI (National Provider Identifier) 1366628554, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Crystal New Hope Medical Clinic Inc?
The Crystal New Hope Medical Clinic Inc is situated at 3501 Douglas Dr N, in the city of Crystal, state of MN, with the zip code 554222415.
What is the Crystal New Hope Medical Clinic Inc's specialty and taxonomy code?
The Crystal New Hope Medical Clinic Inc's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Crystal New Hope Medical Clinic Inc receive the assignment of its 1366628554 from the Centers for Medicare & Medicaid Services?
The Crystal New Hope Medical Clinic Inc was issued its 1366628554 by the Centers for Medicare & Medicaid Services on 2008-01-17.
When was the Crystal New Hope Medical Clinic Inc's information last updated?
The Crystal New Hope Medical Clinic Inc's information was last updated on 2013-01-08.