| Aslan Health, Pc | |
|
1400 W Saint Germain St Saint Cloud MN 56301-4101 | |
| (320) 428-5697 | |
| Not Available |
| Full Name | Aslan Health, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 W Saint Germain St, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Clayton Mallery White (BOARD CHAIR) |
| Authorized Official Contact | 3202976800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aslan Health, Pc 1400 W Saint Germain St Saint Cloud MN 56301-4101 Ph: (320) 429-5697 | Aslan Health, Pc 1400 W Saint Germain St Saint Cloud MN 56301-4101 Ph: (320) 428-5697 |
| NPI Number | 1508638511 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/11/2024 |
| Medicare PECOS PAC ID | 9133665201 |
|---|---|
| Medicare Enrollment ID | O20240725000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508638511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Rebecca J White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821345844 PECOS PAC ID: 5092965061 Enrollment ID: I20121029000339 |
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