St Peter Street Internal Medicine
LBN: St Paul Internal Medicine
St Peter Street Internal Medicine is an health care organization with primary practice located at 514 St Peter Street Suite 250, St Paul MN 55102. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
St Paul Internal Medicine can be contacted via phone (651) 645-9600, or through Slattery, Elisabeth A via phone (651) 645-9600.
Contact Information
Primary practice address
514 St Peter Street Suite 250
St Paul MN 55102
Phone: (651) 645-9600
Fax: (651) 645-9605
Website:
Authorized official contact:
Name: Slattery, Elisabeth A Doctor of Medicine (MD)
Phone: (651) 645-9600
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31392 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1174617146 |
|---|---|
| LBN Legal business name | St Paul Internal Medicine |
| DBA Doing business as | St Peter Street Internal Medicine |
| Authorized official | Slattery, Elisabeth A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 18th, 2008 - about 17 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 | 1174617146 | NPPES |
| Minnesota | Other | 10N38ST | BCBS |
| Minnesota | Other | 0409583 | BCBS |
| Minnesota | Other | DF1694 | BCBS |
| Minnesota | MEDICAID | 938088400 | BCBS |
| Minnesota | MEDICAID | 948448000 | BCBS |
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