DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: OPTAGE PRIMARY CARE, LLC

MEDICARE: OPTAGE PRIMARY CARE, 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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1760789259
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTAGE PRIMARY CARE, LLC
Provider Business Mailing Address
First Line : 2845 HAMLINE AVE N
Second Line :
City : ROSEVILLE
State : MN
Zip : 55113-7127
Country : US
Telephone Number : 651-631-6100
Fax Number : 651-631-6343
Provider Business Practice Location Address
First Line : 2845 HAMLINE AVE N
Second Line :
City : ROSEVILLE
State : MN
Zip : 55113-7127
Country : US
Telephone Number : 651-631-6100
Fax Number : 651-631-6343
Authorized Official
Title or Position : EXECUTIVE DIRECTOR OF OPERATIONS
Name : SHARON KLEFSAAS
Credential :
Telephone Number : 651-631-6145
Provider Enumeration Date : 02/17/2011
Last Update Date : 09/22/2011

Similar Medicare Providers

1881989465 — KRISTIN MARIE TURNBLOM PT
Practice Location Address:
2845 HAMLINE AVE N
ROSEVILLE, MN
55113-7127
Practice Phone: 651-631-6487
Practice Fax:
1609048883 — PRESBYTERIAN HOMES HOSPICE INC
Practice Location Address:
2845 HAMLINE AVE N
ROSEVILLE, MN
55113-7127
Practice Phone: 651-746-8200
Practice Fax:
1003115379 — DR. PATRICIA ANN KAPPAS-LARSON DNP, APN-C
Practice Location Address:
2845 HAMLINE AVE N
ROSEVILLE, MN
55113-7127
Practice Phone: 651-631-6100
Practice Fax: 651-631-6343
1790289064 — ANNIKA PETERSON APRN, CNP
Practice Location Address:
2845 HAMLINE AVE N
ROSEVILLE, MN
55113-7127
Practice Phone: 651-631-6407
Practice Fax: 651-631-6343
1417437880 — MARC SCHULTZ PT
Practice Location Address:
2845 HAMLINE AVE N
ROSEVILLE, MN
55113-7127
Practice Phone: 715-294-0969
Practice Fax:
1568929115 — BRANDI REILLY APRN, CNP
Practice Location Address:
2845 HAMLINE AVE N
ROSEVILLE, MN
55113-7127
Practice Phone: 651-631-6407
Practice Fax:

Directions to “OPTAGE PRIMARY CARE, LLC ” 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.