| Hi-gate Pediatrics | |
|
2911 26th Ave S Minneapolis MN 55406-1555 | |
| (612) 886-3626 | |
| (612) 886-3627 |
| Full Name | Hi-gate Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 2911 26th Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Adno a Gatah (PNP / OWNER) |
| Authorized Official Contact | 6128663626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hi-gate Pediatrics 2911 26th Ave S Minneapolis MN 55406-1555 Ph: (612) 886-3626 | Hi-gate Pediatrics 2911 26th Ave S Minneapolis MN 55406-1555 Ph: (612) 886-3626 |
| NPI Number | 1497489645 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 08/17/2026 |
| Certification Date | 08/17/2026 |
| Medicare PECOS PAC ID | 0446616858 |
|---|---|
| Medicare Enrollment ID | O20230509002382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497489645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Benjamin B Ranstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376565325 PECOS PAC ID: 3971522400 Enrollment ID: I20051115000068 |
| Provider Name | Adno a Gatah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154763837 PECOS PAC ID: 6406080001 Enrollment ID: I20131015001255 |
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