| Heartsavers Clinics | |
|
2800 Campus Dr Ste 44 Plymouth MN 55441-2669 | |
| (612) 913-9758 | |
| Not Available |
| Full Name | Heartsavers Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 2800 Campus Dr Ste 44, Plymouth, Minnesota |
| Authorized Official Name and Position | Thomas Bregmann (DIR OF OPERATIONS) |
| Authorized Official Contact | 6123868685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartsavers Clinics 333 Washington Ave N Fl 3 Minneapolis MN 55401-2263 Ph: (612) 444-3174 | Heartsavers Clinics 2800 Campus Dr Ste 44 Plymouth MN 55441-2669 Ph: (612) 913-9758 |
| NPI Number | 1295084309 |
|---|---|
| Provider Enumeration Date | 09/05/2012 |
| Last Update Date | 03/17/2023 |
| Medicare PECOS PAC ID | 4688828445 |
|---|---|
| Medicare Enrollment ID | O20130131000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295084309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Emily Starita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073939476 PECOS PAC ID: 1658697271 Enrollment ID: I20150225002298 |
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