Bloomington Lake Clinic, Ltd in Bloomington - Multi-specialty
Bloomington Lake Clinic, Ltd - NPI 1215090501
Bloomington Lake Clinic, Ltd is a Multi-specialty in Bloomington, Minnesota. Bloomington Lake Clinic, Ltd practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Bloomington Lake Clinic, Ltd is 1215090501. The last update date is 2011-04-04.
Bloomington Lake Clinic, Ltd's current location address is 7901 Xerxes Ave S Ste 116, Bloomington, Minnesota. You can contact this provider via phone number 9528882024 and fax number 9528883985. The mailing address for Bloomington Lake Clinic, Ltd is 7901 Xerxes Ave S Ste 116, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bloomington Lake Clinic, Ltd |
|---|---|
| Address | 7901 Xerxes Ave S Ste 116, Bloomington, Minnesota |
| Phone Number | 9528882024 |
| Fax Number | 9528883985 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Barger J Debra |
| Telephone Number | 6122772165 |
NPI Number Detail
| NPI Number | 1215090501 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2011-04-04 |
Provider Mailing Address Detail
| Address | 7901 Xerxes Ave S Ste 116 |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554311200 |
| Phone Number | 9528882024 |
| Fax Number | 9528883985 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
| Licence No | 23 |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1713 | MN | HEALTH PARTNERS | |
| 302510100 | MN | -- | |
| C406 | MN | UCARE MINNESOTA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bloomington Lake Clinic, Ltd by the Centers for Medicare & Medicaid Services?
The Bloomington Lake Clinic, Ltd has been issued the NPI (National Provider Identifier) 1215090501 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Bloomington Lake Clinic, Ltd is physically located?
The Bloomington Lake Clinic, Ltd is physically situated at the following address: 7901 Xerxes Ave S Ste 116, Bloomington, MN, 554311200.
What is the area of specialization for Bloomington Lake Clinic, Ltd, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bloomington Lake Clinic, Ltd is Multi-specialty, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm1300X.
When did Bloomington Lake Clinic, Ltd receive its 1215090501 assignment?
The Bloomington Lake Clinic, Ltd was assigned its 1215090501 on 2006-12-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Bloomington Lake Clinic, Ltd last refreshed?
The information related to the Bloomington Lake Clinic, Ltd, including its address, specialty, and other relevant details, was last updated on 2011-04-04.
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