Miles Med Management
LBN: Miles Med Management Service Corporation
Miles Med Management is an health care organization with primary practice located at 5775 Wayzata Blvd Ste 767 , Saint Louis Park MN 55416-1222. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty.
Miles Med Management Service Corporation can be contacted via phone (612) 708-7562, or through Miles, Lisa Ann via phone (612) 708-7562.
Contact Information
Primary practice address
5775 Wayzata Blvd Ste 767
Saint Louis Park MN 55416-1222
Phone: (612) 708-7562
Fax: (507) 738-1963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1225703705 |
|---|---|
| LBN Legal business name | Miles Med Management Service Corporation |
| DBA Doing business as | Miles Med Management |
| Authorized official | Miles, Lisa Ann APNP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 16th, 2021 |
| Last updated | Sep 15th, 2021 - about 4 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 | 1225703705 | NPPES |
| Minnesota | MEDICAID | 1225703705 | |
| Minnesota | MEDICAID | 1093741886 |
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