| Primary Care & Rehabilitation Clinics, Inc. | |
|
3015 Utah Ave S St Louis Park MN 55426-3671 | |
| (952) 933-8900 | |
| (952) 945-9536 |
| Full Name | Primary Care & Rehabilitation Clinics, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3015 Utah Ave S, St Louis Park, Minnesota |
| Authorized Official Name and Position | Leon B Frid (PRESIDENT) |
| Authorized Official Contact | 9529338900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care & Rehabilitation Clinics, Inc. 3015 Utah Ave S St Louis Park MN 55426-3671 Ph: (952) 933-8900 | Primary Care & Rehabilitation Clinics, Inc. 3015 Utah Ave S St Louis Park MN 55426-3671 Ph: (952) 933-8900 |
| NPI Number | 1306842547 |
|---|---|
| Provider Enumeration Date | 06/22/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306842547 | NPI | - | NPPES |
| 3C060TE | Other | MN | BCBS D.C. PROV # |
| 2M391TE | Other | MN | BCBS MD PROVIDER # |
| 8B610TE | Other | MN | BCBS PT PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Minnesota) | Primary |
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