| Bloomington Lake Clinic, Ltd | |
|
7901 Xerxes Ave S Ste 116 Bloomington MN 55431-1200 | |
| (952) 888-2024 | |
| (952) 888-3985 |
| Full Name | Bloomington Lake Clinic, Ltd |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7901 Xerxes Ave S Ste 116, Bloomington, Minnesota |
| Authorized Official Name and Position | Debra J Barger (ASSISTANT ADMINISTRATOR) |
| Authorized Official Contact | 6122772165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomington Lake Clinic, Ltd 7901 Xerxes Ave S Ste 116 Bloomington MN 55431-1200 Ph: (952) 888-2024 | Bloomington Lake Clinic, Ltd 7901 Xerxes Ave S Ste 116 Bloomington MN 55431-1200 Ph: (952) 888-2024 |
| NPI Number | 1215090501 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 04/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215090501 | NPI | - | NPPES |
| 1713 | Other | MN | HEALTH PARTNERS |
| 302510100 | Medicaid | MN | |
| C406 | Other | MN | UCARE MINNESOTA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 23 (Minnesota) | Primary |
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