Northern Lakes Clinic, Inc. in St Louis Park - Methadone
Northern Lakes Clinic, Inc. - NPI 1750435459
Northern Lakes Clinic, Inc. is a Methadone in St Louis Park, Minnesota. Northern Lakes Clinic, Inc. practices all healthcare services and medical treatments related to Methadone. The NPI Number for Northern Lakes Clinic, Inc. is 1750435459. The last update date is 2020-08-22.
Northern Lakes Clinic, Inc.'s current location address is 6200 Excelsior Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529255344 and fax number 9525489350. The mailing address for Northern Lakes Clinic, Inc. is 6200 Excelsior Blvd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northern Lakes Clinic, Inc. |
|---|---|
| Address | 6200 Excelsior Blvd, St Louis Park, Minnesota |
| Phone Number | 9529255344 |
| Fax Number | 9525489350 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO & OW |
|---|---|
| Authorized Official Name | Schlutter Cochrane Lois |
| Credentials | PH.D. |
| Telephone Number | 9529255344 |
NPI Number Detail
| NPI Number | 1750435459 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6200 Excelsior Blvd |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554162730 |
| Phone Number | 9529255344 |
| Fax Number | 9525489350 |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Northern Lakes Clinic, Inc.?
The Northern Lakes Clinic, Inc. has been issued the NPI (National Provider Identifier) 1750435459 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Northern Lakes Clinic, Inc. is located?
The Northern Lakes Clinic, Inc. is situated at the following address: 6200 Excelsior Blvd, St Louis Park, MN, 554162730.
What is Northern Lakes Clinic, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Northern Lakes Clinic, Inc.'s area of specialization is Methadone, and the corresponding taxonomy code that categorizes this field of practice is 261Qm2800X.
When did the Northern Lakes Clinic, Inc. receive its 1750435459?
The Northern Lakes Clinic, Inc. was issued its 1750435459 on 2007-01-22, which is the date when the organization was assigned this unique identifier.
When was the information regarding Northern Lakes Clinic, Inc. most recently updated?
The details pertaining to the Northern Lakes Clinic, Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.