MINNEOSTA WELLNESS CENTER LLC


Address: 808 Berry St Apt 192, Saint Paul, MN 55114-1082
Phone: 6126185841

MINNEOSTA WELLNESS CENTER LLC (NPI# 1821533779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821533779
Entity Type Organization
Organization Name MINNEOSTA WELLNESS CENTER LLC
Practice Address 808 Berry St Apt 192
Saint Paul
MN 55114-1082
Practice Telephone 6126185841
Practice Fax Number 6516460950
Mailing Telephone 6126185841
Mailing Fax Number 6516460950
Enumeration Date 2017-01-02
Last Update Date 2017-01-02
Authorized Official Name MRS. UBAH ABUBAKER SHIRWA (OWNER)
Authorized Official Telephone 6126185841
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health 1083995-1-HCBS MN Agencies
Y 305S00000X Point of Service 1083995-1-HCBS MN Managed Care Organizations

Office Location

Street Address 808 BERRY ST APT 192
City SAINT PAUL
State MN
Zip Code 55114-1082

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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

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NPI Name Taxonomy Address Enumeration
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1639588643 Brad W Houghton Psyd Lp LLC Point of Service 821 Raymond Ave, Saint Paul, MN 55114-1532 2014-08-05

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1982945184 Premeir Home Healthcare Point of Service 612 E 27th St, Minneapolis, MN 55407-1002 2013-03-13
1164700076 Sound Solutions Hearing Centers of Minnesota LLC. Point of Service 4101 W Division St Ste 4, Saint Cloud, MN 56301-3729 2011-07-26
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Competitor

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City SAINT PAUL
Zip Code 55114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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