| Assured Health Llc | |
|
8421 W Broadway Ave Brooklyn Park MN 55445 | |
| (952) 212-0911 | |
| (651) 300-1956 |
| Full Name | Assured Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8421 W Broadway Ave, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Walter Ogetti Nyabere (PROVIDER) |
| Authorized Official Contact | 9522120911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Assured Health Llc 8421 W Broadway Ave Brooklyn Park MN 55445-2266 Ph: (952) 212-0911 | Assured Health Llc 8421 W Broadway Ave Brooklyn Park MN 55445 Ph: (952) 212-0911 |
| NPI Number | 1316473382 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 02/13/2024 |
| Medicare PECOS PAC ID | 7315205291 |
|---|---|
| Medicare Enrollment ID | O20171226000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316473382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CNP0956 (Minnesota) | Primary |
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