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NPI Code Detail

MEDICARE: ADVENT HEALTH SERVICES LLC

MEDICARE: ADVENT HEALTH SERVICES LLC
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
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1972349991
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVENT HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 3098 BLAISDELL AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-3183
Country : US
Telephone Number : 612-707-3308
Fax Number :
Provider Business Practice Location Address
First Line : 3098 BLAISDELL AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-3183
Country : US
Telephone Number : 612-707-3308
Fax Number :
Authorized Official
Title or Position : CEO
Name : ABDIRAHMAN K AHMED
Credential :
Telephone Number : 612-707-3308
Provider Enumeration Date : 07/09/2024
Last Update Date : 07/09/2024

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