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NPI Code Detail

MEDICARE: EQUITY SERVICES OF ST. PAUL, INC.

MEDICARE: EQUITY SERVICES OF ST. PAUL, 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
1251E00000XHome Health Agency326508MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22120EQOTHERMNBLUE CROSS
3102018OTHERMNUCARE
45900024OTHERMNMEDICA
524822OTHERMNHEALTH PARTNERS

General Provider Information

NPI Number : 1588661276
Entity Type Code : Organization
Provider Name (Legal Business Name) : EQUITY SERVICES OF ST. PAUL, INC.
Provider Business Mailing Address
First Line : 3550 LABORE RD STE 9
Second Line :
City : SAINT PAUL
State : MN
Zip : 55110-5113
Country : US
Telephone Number : 651-489-4656
Fax Number : 651-489-4811
Provider Business Practice Location Address
First Line : 3550 LABORE RD STE 9
Second Line :
City : SAINT PAUL
State : MN
Zip : 55110-5113
Country : US
Telephone Number : 651-489-4656
Fax Number : 651-489-4811
Authorized Official
Title or Position : DON/ADMINISTRATOR
Name : ALISHA JASINSKI
Credential :
Telephone Number : 651-489-4656
Provider Enumeration Date : 07/07/2005
Last Update Date : 12/30/2025

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Directions to “EQUITY SERVICES OF ST. PAUL, INC. ” Practice Location

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