MEDICARE: CRYSTAL NEW HOPE MEDICAL CLINIC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1588004279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRYSTAL NEW HOPE MEDICAL CLINIC

Provider Business Mailing Address
First Line	:	2904 JOHNSON ST NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55418-2234
Country	:	US
Telephone Number	:	612-782-0900
Fax Number	:	612-788-4930

Provider Business Practice Location Address
First Line	:	3501 DOUGLAS DR N
Second Line	:
City	:	CRYSTAL
State	:	MN
Zip	:	55422-2480
Country	:	US
Telephone Number	:	763-535-9601
Fax Number	:	763-535-5601

Authorized Official
Title or Position	:	CEO
Name	:	MS. MARGIE L EVENS
Credential	:
Telephone Number	:	320-356-9141

Provider Enumeration Date	:	06/27/2013
Last Update Date	:	06/27/2013

Similar Medicare Providers

1427054287 — LIBORIO L LIRA M.D.
Practice Location Address:

3501 DOUGLAS DR N
CRYSTAL, MN
55422-2480

Practice Phone: 764-535-9601
Practice Fax: 763-535-5601

1639751662 — SUITE LIVING SENIOR CARE OF CRYSTAL
Practice Location Address:

3501 DOUGLAS DR N
CRYSTAL, MN
55422-2480

Practice Phone: 651-770-2273
Practice Fax:

1154315133 — MRS. KATHERINE MCCOURT ROBINSON LARSON PA C
Practice Location Address:

4725 36TH AVE N
CRYSTAL, MN
55422-2169

Practice Phone: 218-208-2058
Practice Fax:

1336123611 — DR. PAUL ANDY RUTH M.D.
Practice Location Address:

5109 36TH AVE N
CRYSTAL, MN
55422-2007

Practice Phone: 763-587-7900
Practice Fax: 763-587-7989

1841253366 — NEW HOPE CRYSTAL MEDICAL CLINIC
Practice Location Address:

3501 DOUGLAS DR N
CRYSTAL, MN
55422-2415

Practice Phone: 763-535-9601
Practice Fax: 763-535-5601

1659307205 — KURT STEVEN PARTOLL MD
Practice Location Address:

5109 36TH AVE N
CRYSTAL, MN
55422-2007

Practice Phone: 763-587-7900
Practice Fax: 763-587-7989

Directions to “CRYSTAL NEW HOPE MEDICAL CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.