| Truefaith Services | |
|
7101 York Ave S Ste 371 Edina MN 55435-4408 | |
| (763) 501-7368 | |
| Not Available |
| Full Name | Truefaith Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 7101 York Ave S Ste 371, Edina, Minnesota |
| Authorized Official Name and Position | Johnette D Tarr (OWNER) |
| Authorized Official Contact | 7635017368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Truefaith Services 7101 York Ave S Ste 371 Edina MN 55435-4408 | Truefaith Services 7101 York Ave S Ste 371 Edina MN 55435-4408 Ph: (763) 501-7368 |
| NPI Number | 1740098094 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 01/23/2026 |
| Certification Date | 01/23/2026 |
| Medicare PECOS PAC ID | 0749763142 |
|---|---|
| Medicare Enrollment ID | O20260313002032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740098094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Shannon Martina Rapalo Medina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104531458 PECOS PAC ID: 4486008455 Enrollment ID: I20230925001907 |
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