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NPI Code Detail

MEDICARE: CLEARVIEW WELLNESS CENTER

MEDICARE: CLEARVIEW WELLNESS CENTER
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1629682778
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEARVIEW WELLNESS CENTER
Provider Business Mailing Address
First Line : 445 MINNESOTA ST STE 1500
Second Line :
City : SAINT PAUL
State : MN
Zip : 55101-2269
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 445 MINNESOTA ST STE 1500
Second Line :
City : SAINT PAUL
State : MN
Zip : 55101-2269
Country : US
Telephone Number : 612-351-7410
Fax Number :
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MADAR HACHI
Credential :
Telephone Number : 612-351-7410
Provider Enumeration Date : 09/05/2020
Last Update Date : 09/05/2020

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Directions to “CLEARVIEW WELLNESS CENTER ” Practice Location

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