Organization · NPI-2

Meridian Behavioral Health

Health Maintenance Organization · Minneapolis, MN

NPI number1679864664
StatusActive
Last updated in NPPESApr 25, 2011

Details

NPI
1679864664
Entity type
Organization (NPI-2)
Legal business name
Meridian Behavioral Health
Organization subpart
No
Enumeration date
Apr 25, 2011
Last updated
Apr 25, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization–MNYes

Other names

  • Alliance Clinic (Other Name)

Practice location

3329 University Ave Se
Minneapolis, MN 55414-3325

Phone 612-454-2260 · Fax 612-454-2340

Mailing address

3329 University Ave Se
Minneapolis, MN 55414

Phone 612-454-2260 · Fax 612-454-2340

Authorized official

Nina Carole Junius
Case Manager
6124542260

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