| Evident Healthcare Management Llc | |
|
940 Hastings Ave St Paul Park MN 55071-1315 | |
| (651) 300-0140 | |
| Not Available |
| Full Name | Evident Healthcare Management Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 940 Hastings Ave, St Paul Park, Minnesota |
| Authorized Official Name and Position | Ngang Mou-bayong (OWNER) |
| Authorized Official Contact | 6513000140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evident Healthcare Management Llc 940 Hastings Ave St Paul Park MN 55071-1315 Ph: (651) 300-0140 | Evident Healthcare Management Llc 940 Hastings Ave St Paul Park MN 55071-1315 Ph: (651) 300-0140 |
| NPI Number | 1265292593 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 07/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265292593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Evident Social Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Hastings Ave, St Paul Park, MN 55071 Phone: 651-300-0140 | |
Evident Transport Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Hastings Ave, St Paul Park, MN 55071 Phone: 651-300-0140 |