| Pediatric And Young Adult Medicine, Pa | |
|
1655 Beam Ave Suite 108 Maplewood MN 55109-1163 | |
| (651) 256-6706 | |
| (651) 256-6707 |
| Full Name | Pediatric And Young Adult Medicine, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1655 Beam Ave, Maplewood, Minnesota |
| Authorized Official Name and Position | Terri M Joseph (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 6512566706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric And Young Adult Medicine, Pa 1804 7th St W Suite 200 Saint Paul MN 55116-2300 Ph: (651) 256-6706 | Pediatric And Young Adult Medicine, Pa 1655 Beam Ave Suite 108 Maplewood MN 55109-1163 Ph: (651) 256-6706 |
| NPI Number | 1295977395 |
|---|---|
| Provider Enumeration Date | 04/03/2009 |
| Last Update Date | 12/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295977395 | NPI | - | NPPES |
| 1477870921 | Medicaid | MN | |
| 1083694046 | Medicaid | MN | |
| 1245210095 | Medicaid | MN | |
| 1245210210 | Medicaid | MN | |
| 1104806165 | Medicaid | MN | |
| 1861558835 | Medicaid | MN | |
| 1881057065 | Medicaid | MN | |
| 1386991339 | Medicaid | MN | |
| 1497735419 | Medicaid | MN | |
| 1912987900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 154 (Minnesota) | Primary |
M Health Fairview Spine And Neurosurgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1747 Beam Ave Ste 100, Maplewood, MN 55109 Phone: 651-326-5569 | |
Healtheast Neonatal Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2945 Hazelwood St Ste 100, Maplewood, MN 55109 Phone: 651-232-7031 Fax: 651-232-7826 | |
Allina Health Maplewood Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1850 Beam Ave, Maplewood, MN 55109 Phone: 651-241-9500 Fax: 651-770-8834 | |
M Health Fairview Specialty Clinic Beam Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1655 Beam Ave Ste 111, Maplewood, MN 55109 Phone: 651-471-1166 Fax: 651-471-2222 | |
Minnhealth - Afton Road Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2716 Upper Afton Rd E, Maplewood, MN 55119 Phone: 651-739-5050 Fax: 651-739-7393 | |
Polaris Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2053 Woodlynn Ave, Maplewood, MN 55109 Phone: 651-431-0047 | |
My Medical Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1560 Beam Ave, Maplewood, MN 55109 Phone: 651-484-6923 |