| Northwestern Health Sciences University | |
|
2501 W 84th St Bloomington MN 55431-1602 | |
| (952) 888-4777 | |
| (952) 886-7590 |
| Full Name | Northwestern Health Sciences University |
|---|---|
| Speciality | Clinic/Center |
| Location | 2501 W 84th St, Bloomington, Minnesota |
| Authorized Official Name and Position | John B Wolfe (COMPLIANCE OFFICER) |
| Authorized Official Contact | 9528884777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Health Sciences University 2501 West 84th Street Bloomington MN 55431-1599 Ph: (952) 888-4777 | Northwestern Health Sciences University 2501 W 84th St Bloomington MN 55431-1602 Ph: (952) 888-4777 |
| NPI Number | 1124103544 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/27/2021 |
| Medicare PECOS PAC ID | 8820088834 |
|---|---|
| Medicare Enrollment ID | O20040513000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124103544 | NPI | - | NPPES |
| 7261471 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Douglas G Kaster |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063613305 PECOS PAC ID: 8022057942 Enrollment ID: I20050429000747 |
| Provider Name | Amanda R Gebhardt-fitzgerald |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518069756 PECOS PAC ID: 9638119712 Enrollment ID: I20050509000258 |
| Provider Name | Amy L Horton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740363795 PECOS PAC ID: 8527075290 Enrollment ID: I20060321000695 |
| Provider Name | Zachary J Zachman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194808162 PECOS PAC ID: 0042343584 Enrollment ID: I20100804000167 |
| Provider Name | Richard Printon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457391955 PECOS PAC ID: 2466646435 Enrollment ID: I20101103000932 |
| Provider Name | Christopher James Hanson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255635116 PECOS PAC ID: 8628259371 Enrollment ID: I20110301000180 |
| Provider Name | Martin Caron |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942359518 PECOS PAC ID: 7012074487 Enrollment ID: I20110608000529 |
| Provider Name | Curran Gandsey Dougherty |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093293011 PECOS PAC ID: 9133463326 Enrollment ID: I20181128002464 |
| Provider Name | Stacy Nichole Neal |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053049189 PECOS PAC ID: 1052795879 Enrollment ID: I20220829001268 |
Allina Health Bloomington Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7920 Old Cedar Ave S, Bloomington, MN 55425 Phone: 952-428-1800 Fax: 952-428-1723 |
Southwest Residence Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Columbus Ave S, Bloomington, MN 55420 Phone: 952-994-0998 |
Bravo Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8119 Bloomington Ave, Bloomington, MN 55425 Phone: 503-260-0819 |
Shining Minds Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 Lyndale Ave S Ste 100a, Bloomington, MN 55420 Phone: 619-841-8488 |
Sunny Homes LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9624 Clinton Ave S, Bloomington, MN 55420 Phone: 612-735-7312 |
Pacific Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 E 86th St # 410, Bloomington, MN 55425 Phone: 612-987-8534 |