Sage Prairie
LBN: Medical Addiction Treatment Clinic
Sage Prairie is an health care organization with primary practice located at 3805 Washington Ave N , Minneapolis MN 55412-2141. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty.
Medical Addiction Treatment Clinic can be contacted via phone (612) 887-6282, or through Pylkas, Anne M via phone (612) 435-7380.
Contact Information
Primary practice address
3805 Washington Ave N
Minneapolis MN 55412-2141
Phone: (612) 887-6282
Fax: (612) 437-4992
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 52519 | Minnesota |
Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 12684 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
NPI number | 1891031209 |
---|---|
LBN Legal business name | Medical Addiction Treatment Clinic |
DBA Doing business as | Sage Prairie |
Authorized official | Pylkas, Anne M Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 13th, 2012 |
Last updated | Aug 17th, 2022 - about 2 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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