Catalyst Medical Clinic Pa

LBN: Catalyst Medical Clinic Pa
Catalyst Medical Clinic Pa is an health care organization with primary practice located at 204 Lewis Ave S Ste 201 , Watertown MN 55388-4502. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Catalyst Medical Clinic Pa can be contacted via phone (952) 955-1963, or through Jensen, Scott M via phone (952) 955-1963.

Contact Information

Primary practice address
204 Lewis Ave S Ste 201 Watertown MN 55388-4502
Phone: (952) 955-1963
Fax: (952) 955-1965
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Scott M Doctor of Medicine (MD)
Phone: (952) 955-1963

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 1540 Minnesota

Profile Details

NPI number 1457456691
LBN Legal business name Catalyst Medical Clinic Pa
DBA Doing business as
Authorized official Jensen, Scott M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Mar 27th, 2018 - about 6 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 1457456691 NPPES
Minnesota MEDICAID 860567000

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