CENTRAL MEDICAL WELLNESS & REGENERATION NPI 1336740364

NPI Information

NPI: 1336740364
Provider Name: CENTRAL MEDICAL WELLNESS & REGENERATION
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
821 RAYMOND AVE STE 230
SAINT PAUL, MN
ZIP 55114
Phone: (651) 644-6002
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CENTRAL MEDICAL WELLNESS & REGENERATION is a pain clinic center in Saint Paul, MN. CENTRAL MEDICAL WELLNESS & REGENERATION NPI is 1336740364. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

821 RAYMOND AVE STE 230
SAINT PAUL, MN
ZIP 55114-503
Phone: (651) 644-6002
Fax: (651) 647-1647

The provider's authorized official is Alfonso Morales-utrilla .
The authorized official title is Owner and has the following contact phone number (651) 644-6002.

The enumeration date for this NPI number is 11/5/2020 and was last updated on 11/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	207QA0401X	Family Medicine	Addiction Medicine	No
3	261QP3300X	Clinic/Center	Pain	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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