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: SOUTH METRO COMMUNITY SERVICES

MEDICARE: SOUTH METRO COMMUNITY SERVICES
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1780382184
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH METRO COMMUNITY SERVICES
Provider Business Mailing Address
First Line : 13001 COUNTY ROAD 5
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-2226
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1440 DUCKWOOD DR STE 500
Second Line :
City : EAGAN
State : MN
Zip : 55122-1399
Country : US
Telephone Number : 952-955-9399
Fax Number : 952-395-3553
Authorized Official
Title or Position : PRESIDENT OF OPERATIONS
Name : ASHLEE HERGET
Credential : ADC-T/ CPRS
Telephone Number : 952-955-9399
Provider Enumeration Date : 02/16/2023
Last Update Date : 07/31/2024

Similar Medicare Providers

1467319939 — ELIZABETH JONES
Practice Location Address:
1440 DUCKWOOD DR STE 500
EAGAN, MN
55122-1399
Practice Phone: 952-955-9399
Practice Fax:
1467299552 — ASHLEE HERGET
Practice Location Address:
1440 DUCKWOOD DR STE 500
EAGAN, MN
55122-1399
Practice Phone: 952-955-9399
Practice Fax:
1497562953 — ROSS QUINNELL CPRS
Practice Location Address:
1440 DUCKWOOD DR STE 500
EAGAN, MN
55122-1399
Practice Phone: 952-955-9399
Practice Fax:
1225825409 — ANTHONY MAZOLA
Practice Location Address:
1440 DUCKWOOD DR STE 500
EAGAN, MN
55122-1399
Practice Phone: 952-955-9399
Practice Fax:
1871480251 — DANIEL DUFEK
Practice Location Address:
1440 DUCKWOOD DR STE 500
EAGAN, MN
55122-1399
Practice Phone: 952-715-0429
Practice Fax:
1760368385 — LISA FORTMAN
Practice Location Address:
1440 DUCKWOOD DR STE 500
EAGAN, MN
55122-1399
Practice Phone: 952-955-9399
Practice Fax:

Directions to “SOUTH METRO COMMUNITY SERVICES ” 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.