CONCIERGE HEALTHCARE NPI 1992220461

NPI Information

  • NPI: 1992220461
  • Provider Name: CONCIERGE HEALTHCARE
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: CONCIERGE HEALTHCARE AND CHRONIC PAIN MANAGEMENT
  • Address: 3260 COUNTY ROAD 10 STE G
    BROOKLYN CENTER, MN
    ZIP 55429
  • Phone: (763) 951-2308

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NPI Details

CONCIERGE HEALTHCARE is a clinic center in Brooklyn Center, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CONCIERGE HEALTHCARE NPI is 1992220461. The provider is registered as an organization entity type.
The provider Is Doing Business As Concierge Healthcare And Chronic Pain Management.

The provider's business location address is:

3260 COUNTY ROAD 10 STE G
BROOKLYN CENTER, MN
ZIP 55429-161
Phone: (763) 951-2308

The provider's authorized official is Mary Joanne Stahl .
The authorized official title is Owner/ Nurse Practitioner and has the following contact phone number (763) 951-2308.

The enumeration date for this NPI number is 8/7/2017 and was last updated on 7/21/2022.

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
1261Q00000XClinic/CenterYes

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: 3/30/2025

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