Central Medical Clinic Llc
LBN: Central Medical Clinic Llc
Central Medical Clinic Llc is an health care organization with primary practice located at 393 N Dunlap Street Suite Ll34, St Paul MN 55104. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Central Medical Clinic Llc can be contacted via phone (651) 644-6002, or through Swanson, Matthew J via phone (612) 922-7573.
Contact Information
Primary practice address
393 N Dunlap Street Suite Ll34
St Paul MN 55104
Phone: (651) 644-6002
Fax: (651) 644-2048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 37899 | Minnesota |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 37899 | Minnesota |
Profile Details
| NPI number | 1437313434 |
|---|---|
| LBN Legal business name | Central Medical Clinic Llc |
| DBA Doing business as | |
| Authorized official | Swanson, Matthew J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 18th, 2008 |
| Last updated | Jul 18th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437313434 | NPPES |
| Minnesota | MEDICAID | 2168900 |
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