| Eminence Healthcare Llc | |
|
150 Red Rock Rd Newport MN 55055-1830 | |
| (651) 358-9573 | |
| Not Available |
| Full Name | Eminence Healthcare Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 150 Red Rock Rd, Newport, Minnesota |
| Authorized Official Name and Position | Donnie Ray Wallace (OWNER) |
| Authorized Official Contact | 6513589573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eminence Healthcare Llc 150 Red Rock Rd Newport MN 55055-1830 Ph: (651) 358-9573 | Eminence Healthcare Llc 150 Red Rock Rd Newport MN 55055-1830 Ph: (651) 358-9573 |
| NPI Number | 1063242709 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063242709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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