| Crystal New Hope Medical Clinic Inc | |
|
3501 Douglas Dr N Crystal MN 55422-2415 | |
| (763) 535-9601 | |
| (763) 535-5601 |
| Full Name | Crystal New Hope Medical Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3501 Douglas Dr N, Crystal, Minnesota |
| Authorized Official Name and Position | Roxanne M Urbashich (OFFICE MANAGER) |
| Authorized Official Contact | 7635359601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal New Hope Medical Clinic Inc 3501 Douglas Dr N Crystal MN 55422-2415 Ph: (763) 535-9601 | Crystal New Hope Medical Clinic Inc 3501 Douglas Dr N Crystal MN 55422-2415 Ph: (763) 535-9601 |
| NPI Number | 1366628554 |
|---|---|
| Provider Enumeration Date | 01/17/2008 |
| Last Update Date | 01/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366628554 | NPI | - | NPPES |
| 0005733572 | Other | AETNA | |
| 442672100 | Medicaid | MN | |
| 085N8NE | Other | BLUES | |
| P044 | Other | UCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Crystal New Hope Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3501 Douglas Dr N, Crystal, MN 55422 Phone: 763-535-9601 Fax: 763-535-5601 | |
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