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

PROVISIONAL HEALTH AND REHABILITATIVE SERVICES LLC

Active Organization

PROVISIONAL HEALTH AND REHABILITATIVE SERVICES LLC is a Clinic/Center organization located in COLUMBIA HEIGHTS, Minnesota. NPI 1841966116 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · COLUMBIA HEIGHTS, MN

Registration Details

NPI Number
1841966116
Provider Type
Organization
NPI Issued
Aug 18, 2021 (4.9456246886811 yrs)
Last Updated
Feb 12, 2026

Practice Information

Address
4111 CENTRAL AVE NE STE 208B
COLUMBIA HEIGHTS, MN, 554212955
Browse MN providers · Browse ZIP 55421
Phone
7632053258
Primary Specialty
Clinic/Center
261Q00000X

Other Clinic/Center Organizations in COLUMBIA HEIGHTS, MN

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.