| Dakota Child And Family Clinic Pa | |
|
2530 Horizon Dr Burnsville MN 55337-3091 | |
| (651) 209-8640 | |
| Not Available |
| Full Name | Dakota Child And Family Clinic Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 2530 Horizon Dr, Burnsville, Minnesota |
| Authorized Official Name and Position | Nikki Rose (MEDICAL BILLING) |
| Authorized Official Contact | 6512098640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Child And Family Clinic Pa 2530 Horizon Dr Burnsville MN 55337-3091 Ph: (651) 209-8640 | Dakota Child And Family Clinic Pa 2530 Horizon Dr Burnsville MN 55337-3091 Ph: (651) 209-8640 |
| NPI Number | 1124377296 |
|---|---|
| Provider Enumeration Date | 09/05/2012 |
| Last Update Date | 03/16/2022 |
| Medicare PECOS PAC ID | 2365676244 |
|---|---|
| Medicare Enrollment ID | O20131008001181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124377296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1854 (Minnesota) | Primary |
| Provider Name | Gretchen A Moen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922034933 PECOS PAC ID: 8224942065 Enrollment ID: I20061201000305 |
| Provider Name | Stephanie Kimmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215992706 PECOS PAC ID: 7416094180 Enrollment ID: I20091029000063 |
| Provider Name | Michelle S Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508921909 PECOS PAC ID: 3274790324 Enrollment ID: I20120201000875 |
| Provider Name | Emre Josiah Michelle Mauleon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528540671 PECOS PAC ID: 9739432782 Enrollment ID: I20181022002502 |
| Provider Name | Connie Gertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760856165 PECOS PAC ID: 6507272747 Enrollment ID: I20210318000421 |
| Provider Name | Yvonne Wirsiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366868861 PECOS PAC ID: 1355744871 Enrollment ID: I20210721003030 |
M Health Fairview Orthopedic Clinic -ridges Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14101 Fairview Drive, Ste 300, Burnsville, MN 55337 Phone: 952-892-2650 | |
Burnsville Center For Add And Addictions, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Southcross Dr W, Burnsville, MN 55306 Phone: 952-224-8990 | |
Fairview Recovery Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 Cobblestone Ln, Burnsville, MN 55337 Phone: 952-892-2510 Fax: 952-892-5674 | |
Future Generation Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 Larc Industrial Blvd, Burnsville, MN 55337 Phone: 651-333-4582 | |
Pura Vida Chiropractic & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 W Burnsville Pkwy, Burnsville, MN 55337 Phone: 952-895-4085 | |
Ridges Surgery Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-2762 |