| Redbird Wellness, P.a | |
|
7900 Excelsior Blvd Ste 100 Hopkins MN 55343-3446 | |
| (952) 931-9867 | |
| (952) 931-9868 |
| Full Name | Redbird Wellness, P.a |
|---|---|
| Speciality | Chiropractor |
| Location | 7900 Excelsior Blvd Ste 100, Hopkins, Minnesota |
| Authorized Official Name and Position | Shawn David Halliday (PRESIDENT) |
| Authorized Official Contact | 9529319867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redbird Wellness, P.a 7900 Excelsior Blvd Ste 100 Hopkins MN 55343-3446 Ph: (952) 931-9867 | Redbird Wellness, P.a 7900 Excelsior Blvd Ste 100 Hopkins MN 55343-3446 Ph: (952) 931-9867 |
| NPI Number | 1679534812 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 04/15/2026 |
| Certification Date | 04/15/2026 |
| Medicare PECOS PAC ID | 6507994951 |
|---|---|
| Medicare Enrollment ID | O20100506000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679534812 | NPI | - | NPPES |
| 001672100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Shawn David Halliday |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386194918 PECOS PAC ID: 5799193355 Enrollment ID: I20210420001112 |
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