| Thomas King | |
|
3820 Cleveland Ave N Suite 400 Arden Hills MN 55112-3285 | |
| (651) 389-4402 | |
| (651) 389-4410 |
| Full Name | Thomas King |
|---|---|
| Speciality | Counselor |
| Location | 3820 Cleveland Ave N, Arden Hills, Minnesota |
| Authorized Official Name and Position | Thomas Edward King (OWNER) |
| Authorized Official Contact | 6513894002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas King 3820 Cleveland Ave N Suite 400 Arden Hills MN 55112-3285 Ph: (651) 389-4402 | Thomas King 3820 Cleveland Ave N Suite 400 Arden Hills MN 55112-3285 Ph: (651) 389-4402 |
| NPI Number | 1497837173 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 10/16/2008 |
| Medicare PECOS PAC ID | 8527065846 |
|---|---|
| Medicare Enrollment ID | O20061031000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497837173 | NPI | - | NPPES |
| HP23667 | Other | MN | HEALTH PARTNERS |
| 1851490361 | Other | MN | INDIVIDUAL NPI |
| 79B37KI | Other | MN | BLUE CROSS |
| 658794100 | Medicaid | MN | |
| 6272579 | Other | MN | UNITED BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5391 (Minnesota) | Primary |
| Provider Name | Thomas E King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851490361 PECOS PAC ID: 6103821855 Enrollment ID: I20061002000291 |
Cmaj, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3820 Cleveland Ave N Ste 400, Arden Hills, MN 55112 Phone: 651-389-4406 Fax: 651-389-4410 | |
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