Bloomington Lake Clinic, Ltd

LBN: Bloomington Lake Clinic, Ltd
Bloomington Lake Clinic, Ltd is an health care organization with primary practice located at 7901 Xerxes Ave S Ste 116 , Bloomington MN 55431-1200. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Bloomington Lake Clinic, Ltd can be contacted via phone (952) 888-2024, or through Barger, Debra J via phone (612) 277-2165.

Contact Information

Primary practice address
7901 Xerxes Ave S Ste 116 Bloomington MN 55431-1200
Phone: (952) 888-2024
Fax: (952) 888-3985
Website:
Map and Directions
Authorized official contact:
Name: Barger, Debra J
Phone: (612) 277-2165

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 23 Minnesota

Profile Details

NPI number 1215090501
LBN Legal business name Bloomington Lake Clinic, Ltd
DBA Doing business as
Authorized official Barger, Debra J
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Apr 4th, 2011 - about 14 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 1215090501 NPPES
Minnesota Other 1713 HEALTH PARTNERS
Minnesota MEDICAID 302510100 HEALTH PARTNERS
Minnesota Other C406 HEALTH PARTNERS

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