| Sage Health Center PC | |
|
1440 Duckwood Dr Ste 100 Eagan MN 55122-1451 | |
| (651) 464-1113 | |
| Not Available |
| Full Name | Sage Health Center PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1440 Duckwood Dr Ste 100, Eagan, Minnesota |
| Authorized Official Name and Position | Grant Pylkas (CHAIRMAN) |
| Authorized Official Contact | 6512385558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Health Center PC 1885 96th St E Inver Grove MN 55077-4610 Ph: (651) 238-5558 | Sage Health Center PC 1440 Duckwood Dr Ste 100 Eagan MN 55122-1451 Ph: (651) 464-1113 |
| NPI Number | 1619798329 |
|---|---|
| Provider Enumeration Date | 10/24/2024 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Medicare PECOS PAC ID | 5698277572 |
|---|---|
| Medicare Enrollment ID | O20250909001029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619798329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Katherine M Neu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245676402 PECOS PAC ID: 3476793100 Enrollment ID: I20130701000387 |
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