| Pcc, Inc | |
|
7 Hwy 55 West Buffalo MN 55313 | |
| (763) 682-2829 | |
| (763) 972-3965 |
| Full Name | Pcc, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7 Hwy 55 West, Buffalo, Minnesota |
| Authorized Official Name and Position | Richard James Mielke (DIRECTOR) |
| Authorized Official Contact | 7636822829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pcc, Inc 620 Babcock Blvd E Po Box 558 Delano MN 55328-8603 Ph: (763) 972-6527 | Pcc, Inc 7 Hwy 55 West Buffalo MN 55313 Ph: (763) 682-2829 |
| NPI Number | 1023234168 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023234168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 807207-2-CDT (Minnesota) | Primary |
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