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ADVACARE CLINICSLTD NPI 1265614242


NPI Information

NPI: 1265614242
Provider Name: ADVACARE CLINICS,LTD
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
5001 AMERICAN BLVD W
STE.945
BLOOMINGTON, MN
ZIP 55437
Phone: (952) 835-6653
Get Directions

ADVACARE CLINICS,LTD is a general practice in Bloomington, MN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ADVACARE CLINICS,LTD NPI is 1265614242. The provider is registered as an organization entity type.

The provider's business location address is:

5001 AMERICAN BLVD W
STE.945
BLOOMINGTON, MN
ZIP 55437-108
Phone: (952) 835-6653
Fax: (952) 835-3895

The provider's authorized official is Dennis John Lenselink .
The authorized official title is Clinic Administrator and has the following contact phone number (952) 835-6653.

The enumeration date for this NPI number is 11/30/2007 and was last updated on 10/31/2014.


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
1261QP2300XClinic/CenterPrimary CareNo
2208100000XPhysical Medicine & RehabilitationNo
3207Q00000XFamily MedicineNo
4208VP0000XPain MedicinePain MedicineNo
5171100000XAcupuncturistNo
6171100000XAcupuncturist401MINNESOTANo
7207R00000XInternal MedicineNo
8225100000XPhysical TherapistNo
9208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C02555MEDICARE UPINMINNESOTA
224-6608OTHERMINNESOTACMS CERTIFICATION NUMBER PART A (CCN)

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

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