New Hope Crystal Medical Clinic

LBN: Crystal New Hope Medical Clinic Inc
New Hope Crystal Medical Clinic is an health care organization with primary practice located at 3501 Douglas Dr N , Crystal MN 55422-2415. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Crystal New Hope Medical Clinic Inc can be contacted via phone (763) 535-9601, or through Urbashich, Roxanne M via phone (763) 535-9601.

Contact Information

Primary practice address
3501 Douglas Dr N Crystal MN 55422-2415
Phone: (763) 535-9601
Fax: (763) 535-5601
Website:
Map and Directions
Authorized official contact:
Name: Urbashich, Roxanne M
Phone: (763) 535-9601

Health care specialties

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

Profile Details

NPI number 1366628554
LBN Legal business name Crystal New Hope Medical Clinic Inc
DBA Doing business as New Hope Crystal Medical Clinic
Authorized official Urbashich, Roxanne M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2008
Last updated Jan 8th, 2013 - about 13 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 1366628554 NPPES
Other 0005733572 AETNA
MEDICAID 442672100 AETNA
Other 085N8NE AETNA
Other P044 AETNA

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