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:
Map and Directions
Authorized official contact:
Name: Swanson, Matthew J
Phone: (612) 922-7573

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437313434 NPPES
Minnesota MEDICAID 2168900

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