| Canvas Health, Inc. | |
|
375 Orleans St E Stillwater MN 55082-5830 | |
| (651) 431-0720 | |
| (651) 351-3155 |
| Full Name | Canvas Health, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 375 Orleans St E, Stillwater, Minnesota |
| Authorized Official Name and Position | Matthew M. Eastwood (COO) |
| Authorized Official Contact | 6517775222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canvas Health, Inc. 375 Orleans St E Stillwater MN 55082-5830 Ph: (651) 431-0720 | Canvas Health, Inc. 375 Orleans St E Stillwater MN 55082-5830 Ph: (651) 431-0720 |
| NPI Number | 1205056942 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 02/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205056942 | NPI | - | NPPES |
| 082518200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 801109 (Minnesota) | Primary |
Claudia Bertramsen, M.a., L.p. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Greeley St S, Suite 304, Stillwater, MN 55082 Phone: 651-342-1304 Fax: 651-342-1073 | |
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Canvas Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Orleans St E, Stillwater, MN 55082 Phone: 651-430-2727 Fax: 651-351-3155 | |
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