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NPI Code Detail

MEDICARE: MINNESOTA BIRTH CENTER INC.

MEDICARE: MINNESOTA BIRTH CENTER INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0050XNon-Surgical Family Planning Clinic/Center
2261Q00000XClinic/Center
3261QB0400XBirthing Clinic/Center

General Provider Information

NPI Number : 1194056994
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINNESOTA BIRTH CENTER INC.
Provider Business Mailing Address
First Line : 2606 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-3706
Country : US
Telephone Number : 612-545-5311
Fax Number : 612-200-9925
Provider Business Practice Location Address
First Line : 2606 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-3706
Country : US
Telephone Number : 612-545-5311
Fax Number : 612-200-9925
Authorized Official
Title or Position : ADMINISTRATIVE DIRECTOR
Name : CLAUDIA JENNINGS
Credential :
Telephone Number : 612-545-5311
Provider Enumeration Date : 01/19/2010
Last Update Date : 10/05/2020

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