Memory Care Clinic

LBN: Memory Care Clinic
Memory Care Clinic is an health care organization with primary practice located at 2835 W Saint Germain St , Saint Cloud MN 56301-6280. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Memory Care Clinic can be contacted via phone (320) 257-1777, or through Wenner, Sandra L. via phone (320) 257-1777.

Contact Information

Primary practice address
2835 W Saint Germain St Saint Cloud MN 56301-6280
Phone: (320) 257-1777
Fax: (320) 257-1776
Website:
Map and Directions
Authorized official contact:
Name: Wenner, Sandra L.
Phone: (320) 257-1777

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 1200898-2 Minnesota

Profile Details

NPI number 1205940863
LBN Legal business name Memory Care Clinic
DBA Doing business as
Authorized official Wenner, Sandra L.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Oct 19th, 2009 - 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 1205940863 NPPES
Minnesota Other CO4052 MEDICARE PROVIDER GROUP NUMBER
Minnesota MEDICAID 567188400 MEDICARE PROVIDER GROUP NUMBER

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