| Bloombridge Health Services | |
|
2520 Larpenteur Ave W Ste 100 Lauderdale MN 55113-5278 | |
| (614) 981-5367 | |
| Not Available |
| Full Name | Bloombridge Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2520 Larpenteur Ave W Ste 100, Lauderdale, Minnesota |
| Authorized Official Name and Position | Aden Ismail Isse (OWNER) |
| Authorized Official Contact | 6149815367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloombridge Health Services 2520 Larpenteur Ave W Ste 100 Lauderdale MN 55113-5278 Ph: (614) 981-5367 | Bloombridge Health Services 2520 Larpenteur Ave W Ste 100 Lauderdale MN 55113-5278 Ph: (614) 981-5367 |
| NPI Number | 1124810288 |
|---|---|
| Provider Enumeration Date | 05/22/2025 |
| Last Update Date | 05/22/2025 |
| Certification Date | 05/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124810288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |