METRO MN PAIN CENTER, LLC (NPI# 1902356868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902356868 |
| Entity Type | Organization |
| Organization Name | METRO MN PAIN CENTER, LLC |
| Practice Address |
3260 County Road 10 Suite G Brooklyn Center MN 55429-3076 |
| Practice Telephone | 7639512308 |
| Practice Fax Number | 7639512378 |
| Mailing Telephone | 7639512308 |
| Mailing Fax Number | 7639512378 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |
| Authorized Official Name | SHARON BETH JOHNSON (OWNER) |
| Authorized Official Telephone | 7639512308 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
4713271 | MN | Ambulatory Health Care Facilities |
| Street Address |
3260 COUNTY ROAD 10 SUITE G |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55429-3076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852979 | Comfort Home Care | Home Health | 5950 Beard Ave N, Brooklyn Center, MN 55429 | 2020-05-15 |
| 1205300969 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 West Boradway Avenue, Crystal, MN 55429 | 2019-01-16 |
| 1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
| 1184106254 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 W. Broadway Ave, Crystal, MN 55429 | 2018-09-05 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1023510526 | Family Trust Home Health, LLC | Home Health | 5901 Brooklyn Blvd Ste 201, Brooklyn Center, MN 55429 | 2018-03-01 |
| 1962910588 | Yer Yang | Massage Therapist | 5531 Orchard Ave N, Crystal, MN 55429 | 2018-01-17 |
| 1790203347 | Akeya Bolden | Counselor | 3212 64th Ave N, Brooklyn Center, MN 55429 | 2017-09-05 |
| 1386169316 | Sadia Pauletta Kruah | Transportation Broker | 6756 Grimes Pl North, Brooklyn Center, MN 55429 | 2017-08-10 |
| 1982134904 | Chad Geyen | Marriage & Family Therapist | 3300 County Rd. 10, Brooklyn Center, MN 55429 | 2017-06-13 |
| Find all providers in zip 55429 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758471 | Hpm of Minnesota Pllc | Clinic/Center | 49725 Co Rd 83, Staples, MN 56479 | 2020-10-21 |
| 1104286772 | Pain Clinics of Minnesota P.a. | Clinic/Center | 4600 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2016-02-25 |
| 1144563503 | Nura Pa | Clinic/Center | 9550 Upland Lane N, Suite 120, Maple Grove, MN 55369-4481 | 2013-04-03 |
| 1780974998 | Light Mountain Healthworks Inc. | Clinic/Center | 502 Hidden Trail Ct Sw, Bemidji, MN 56601-2569 | 2011-04-10 |
| 1043836406 | Us Pain and Rehabilitation Center, Pa | Clinic/Center | 1997 Sloan Pl Ste 23, Saint Paul, MN 55117-2051 | 2020-06-22 |
| 1689068462 | Group Health Plan, Inc. | Clinic/Center | 3960 Coon Rapids Blvd Nw, Suite 311, Coon Rapids, MN 55433 | 2015-03-19 |
| 1780090449 | Capitol Pain Management Pllc | Clinic/Center | 651 Arcade St, Saint Paul, MN 55106-4518 | 2014-07-02 |
| 1003159567 | Nura Pa | Clinic/Center | 7390 France Ave S, Edina, MN 55435-4500 | 2013-04-03 |
| 1629311089 | Nura Pa | Clinic/Center | 2104 Northdale Blvd Nw, Suite 220, Minneapolis, MN 55433-3046 | 2013-04-03 |
| 1275881971 | Dodson Pain Consultants, P.a. Corp | Clinic/Center | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2012-08-28 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55429 |
Please comment or provide details below to improve the information on METRO MN PAIN CENTER, LLC.
| 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.