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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEALTHSOURCE OF ST. PAUL- GRAND

Active Organization

HEALTHSOURCE OF ST. PAUL- GRAND is a Clinic/Center organization located in SAINT PAUL, Minnesota. NPI 1154696813 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · SAINT PAUL, MN

Registration Details

NPI Number
1154696813
Provider Type
Organization
NPI Issued
Mar 14, 2012 (14.444884693952 yrs)
Last Updated
Mar 30, 2012
License
DC4257 (MN)

Practice Information

Address
1053 GRAND AVE
SUITE #114
SAINT PAUL, MN, 551053022
Browse MN providers · Browse ZIP 55105
Phone
6512929247
Fax
6512929257
Primary Specialty
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.