MEDICARE: ACCORD

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	251E00000X	Home Health Agency		MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174670970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCORD

Provider Business Mailing Address
First Line	:	1515 ENERGY PARK DR
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55108-5229
Country	:	US
Telephone Number	:	612-362-4400
Fax Number	:	612-362-4479

Provider Business Practice Location Address
First Line	:	1515 ENERGY PARK DR
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55108-5229
Country	:	US
Telephone Number	:	612-362-4400
Fax Number	:	612-362-4479

Authorized Official
Title or Position	:	CFO
Name	:	ROBERT PICKERING
Credential	:
Telephone Number	:	612-362-4420

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	04/02/2021

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Directions to “ACCORD ” Practice Location

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