| Greater Minnesota Trauma Center | |
|
208 S Minnesota Ave Saint Peter MN 56082-2545 | |
| (507) 200-1667 | |
| Not Available |
| Full Name | Greater Minnesota Trauma Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 208 S Minnesota Ave, Saint Peter, Minnesota |
| Authorized Official Name and Position | Justin Coates (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5073275005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Minnesota Trauma Center Po Box 254 Saint Peter MN 56082-0254 Ph: (507) 327-5005 | Greater Minnesota Trauma Center 208 S Minnesota Ave Saint Peter MN 56082-2545 Ph: (507) 200-1667 |
| NPI Number | 1306542964 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306542964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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