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CENTER FOR PRIMARY CARE AND REHABILITATION PA NPI 1780963355


NPI Information

NPI: 1780963355
Provider Name: CENTER FOR PRIMARY CARE AND REHABILITATION, PA
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization
Address:
880 BLUE GENTIAN RD STE 165
EAGAN, MN
ZIP 55121
Phone: (651) 789-8022
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CENTER FOR PRIMARY CARE AND REHABILITATION, PA is a rehabilitation practitioner in Eagan, MN. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. CENTER FOR PRIMARY CARE AND REHABILITATION, PA NPI is 1780963355. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

880 BLUE GENTIAN RD STE 165
EAGAN, MN
ZIP 55121-772
Phone: (651) 789-8022
Fax: (651) 789-8028

The provider's authorized official is Elena Lev Polukhin .
The authorized official title is Owner/medical Director and has the following contact phone number (651) 789-8022.

The enumeration date for this NPI number is 8/12/2011 and was last updated on 8/12/2011.


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
1225400000XRehabilitation Practitioner45600MINNESOTAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.