| Borealis Health Pllc | |
|
813 S Pokegama Ave Ste A Grand Rapids MN 55744-3934 | |
| (218) 297-1900 | |
| Not Available |
| Full Name | Borealis Health Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 813 S Pokegama Ave Ste A, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Jennie Jon Bata (OWNER) |
| Authorized Official Contact | 2182971900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Borealis Health Pllc 813 S Pokegama Ave Ste A Grand Rapids MN 55744-3934 Ph: (218) 297-1900 | Borealis Health Pllc 813 S Pokegama Ave Ste A Grand Rapids MN 55744-3934 Ph: (218) 297-1900 |
| NPI Number | 1184419228 |
|---|---|
| Provider Enumeration Date | 04/10/2025 |
| Last Update Date | 04/14/2026 |
| Certification Date | 04/14/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184419228 | NPI | - | NPPES |
| 1184419228 | Medicaid | MN |
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