Apple Valley Medical Clinic, Ltd.

LBN: Apple Valley Medical Clinic, Ltd.
Apple Valley Medical Clinic, Ltd. is an health care organization with primary practice located at 14655 Galaxie Ave , Apple Valley MN 55124. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Apple Valley Medical Clinic, Ltd. can be contacted via phone (952) 432-6161, or through Wasson, Cathy via phone (952) 997-9313.

Contact Information

Primary practice address
14655 Galaxie Ave Apple Valley MN 55124
Fax: (952) 432-7019
Website:
Authorized official contact:
Name: Wasson, Cathy

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 723 Minnesota

Profile Details

NPI number 1477599918
LBN Legal business name Apple Valley Medical Clinic, Ltd.
DBA Doing business as
Authorized official Wasson, Cathy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Jun 11th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477599918 NPPES
Minnesota MEDICAID 989883200
Minnesota Other CE7163
Minnesota Other 22345AP
Minnesota Other 6792510001
Minnesota Other 858098
Minnesota MEDICAID 594010900
Minnesota Other C00152
Minnesota Other 55108
Minnesota Other 587

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