Organization · NPI-2

Ace Medical Center, LLC

Clinic/Center, Primary Care · Eden Prairie, MN

NPI number1740798008
StatusActive
Last updated in NPPESJan 19, 2018

Details

NPI
1740798008
Entity type
Organization (NPI-2)
Legal business name
Ace Medical Center, LLC
Organization subpart
No
Enumeration date
Jan 19, 2018
Last updated
Jan 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes
261QC1500X Clinic/Center, Community Health––
261QP0904X Clinic/Center, Public Health, Federal––
261Q00000X Clinic/Center––
261QP2300X Clinic/Center, Primary Care3233MN
261QU0200X Clinic/Center, Urgent Care––

Practice location

10259 Englewood Dr
Eden Prairie, MN 55347-4623

Phone 617-413-4952

Mailing address

Po Box 44044
Eden Prairie, MN 55344-1044

Phone 617-413-4952

Authorized official

Regine W Ndifor
Administrator
6174134952

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