PREMISE HEALTH OF MINNESOTA MEDICAL PC NPI 1861838450

NPI Information

NPI: 1861838450
Provider Name: PREMISE HEALTH OF MINNESOTA MEDICAL PC

Doing Business As: BE WELL HEALTH CENTER-ST CLOUD

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 24D2060271

Address:
30 7TH AVE S
SAINT CLOUD, MN
ZIP 56301
Phone: (302) 534-4687
Get Directions

PREMISE HEALTH OF MINNESOTA MEDICAL PC is an urgent care clinic center in Saint Cloud, MN. PREMISE HEALTH OF MINNESOTA MEDICAL PC NPI is 1861838450. The provider is registered as an organization entity type.
The provider Is Doing Business As Be Well Health Center-st Cloud.

The provider's business location address is:

30 7TH AVE S
SAINT CLOUD, MN
ZIP 56301-213
Phone: (302) 534-4687

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (615) 468-6270.

The CLIA number assigned to this NPI record is 24D2060271 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2013 and was last updated on 8/16/2023.

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
1	261QU0200X	Clinic/Center	Urgent Care			Yes

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »