Rejuv Medical, P.A.

LBN: Rejuv Medical, P.A.
Rejuv Medical, P.A. is an health care organization with primary practice located at 901 3Rd St N , Waite Park MN 56387-1964. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Rejuv Medical, P.A. can be contacted via phone (321) 217-8480, or through Baumgartner, Joel J via phone (320) 217-8480.

Contact Information

Primary practice address
901 3Rd St N Waite Park MN 56387-1964
Fax: (320) 217-8490
Website:
Authorized official contact:
Name: Baumgartner, Joel J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 43368 Minnesota

Profile Details

NPI number 1033355086
LBN Legal business name Rejuv Medical, P.A.
DBA Doing business as
Authorized official Baumgartner, Joel J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2008
Last updated Jan 29th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033355086 NPPES
Minnesota MEDICAID 080012605
Minnesota Other 64886800

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