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MEDICA HEALTH MANAGEMENT LLC NPI 1750655882


NPI Information

NPI: 1750655882
Provider Name: MEDICA HEALTH MANAGEMENT, LLC

Doing Business As: INTEGRATED CARE BY MEDICA

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 24D2094248

Address:
401 CARLSON PKWY
MINNETONKA, MN
ZIP 55305
Phone: (952) 992-2000
Get Directions

MEDICA HEALTH MANAGEMENT, LLC is a nurse practitioner in Minnetonka, MN. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. MEDICA HEALTH MANAGEMENT, LLC NPI is 1750655882. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Integrated Care By Medica.

The provider's business location address is:

401 CARLSON PKWY
MINNETONKA, MN
ZIP 55305-359
Phone: (952) 992-2000
Fax: (952) 992-8665

The provider's authorized official is Glenn Andis .
The authorized official title is Sr. Vice President Gov. Programs and has the following contact phone number (952) 992-3977.

The CLIA number assigned to this NPI record is 24D2094248 - insurance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2012 and was last updated on 11/20/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner21268142MINNESOTAYes

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: 11/14/2023

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