| Empower Ctc | |
|
602 11th Ave Nw Suite 300 Rochester MN 55901-1805 | |
| (507) 292-1379 | |
| (507) 289-4524 |
| Full Name | Empower Ctc |
|---|---|
| Speciality | Clinic/Center |
| Location | 602 11th Ave Nw, Rochester, Minnesota |
| Authorized Official Name and Position | Ann M. Lansing (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5072921379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Ctc 602 11th Ave Nw Suite 300 Rochester MN 55901-1805 Ph: (507) 292-1379 | Empower Ctc 602 11th Ave Nw Suite 300 Rochester MN 55901-1805 Ph: (507) 292-1379 |
| NPI Number | 1669564423 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 04/29/2008 |
| Medicare PECOS PAC ID | 9739442310 |
|---|---|
| Medicare Enrollment ID | O20180412001176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669564423 | NPI | - | NPPES |
| Provider Name | Denay Lynn Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376505131 PECOS PAC ID: 7113998774 Enrollment ID: I20070515000497 |
| Provider Name | Stephen E Lansing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407957020 PECOS PAC ID: 6901169580 Enrollment ID: I20180504000018 |
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