SEBANDY PCA SERVICES LLC NPI 1265806954

NPI Information

  • NPI: 1265806954
  • Provider Name: SEBANDY PCA SERVICES, LLC
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Other Name: RENAE COOLEY
  • Address: 2548 LISA LN NE
    ROCHESTER, MN
    ZIP 55906
  • Phone: (651) 383-6764

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NPI Details

SEBANDY PCA SERVICES, LLC is a preferred provider organization in Rochester, MN. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. SEBANDY PCA SERVICES, LLC NPI is 1265806954. The provider is registered as an organization entity type.
The provider Other Name Is Renae Cooley.

The provider's business location address is:

2548 LISA LN NE
ROCHESTER, MN
ZIP 55906-209
Phone: (651) 383-6764
Fax: (507) 281-1162

The provider's authorized official is Renae Ann Cooley .
The authorized official title is Owner/qp/aa and has the following contact phone number (651) 383-6764.

The enumeration date for this NPI number is 11/18/2015 and was last updated on 11/18/2015.

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 License Number License State Primary
1305R00000XPreferred Provider OrganizationYes

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: 11/21/2025

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