Apple Valley Medical Clinic, Ltd.

LBN: Apple Valley Medical Clinic, Ltd.
Apple Valley Medical Clinic, Ltd. is an health care organization with primary practice located at 14655 Galaxie Ave , Apple Valley MN 55124-8575. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Apple Valley Medical Clinic, Ltd. can be contacted via phone (952) 432-6161, or through Pottenger, Mark via phone (952) 953-9285.

Contact Information

Primary practice address
14655 Galaxie Ave Apple Valley MN 55124-8575
Phone: (952) 432-6161
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pottenger, Mark
Phone: (952) 953-9285

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 723 Minnesota

Profile Details

NPI number 1366754434
LBN Legal business name Apple Valley Medical Clinic, Ltd.
DBA Doing business as
Authorized official Pottenger, Mark
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 6th, 2010
Last updated Jun 19th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366754434 NPPES
Other 858098 PREFERRED ONE
Other 679251001 PREFERRED ONE
Other CE7163 PREFERRED ONE
Other 55108 PREFERRED ONE
Other 22345AP PREFERRED ONE

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