Hra-Iq PC
Family Medicine, Geriatric Medicine in Edina, MN. Organization (NPI-2).
NPI number1891174751
StatusActive
Last updated in NPPESMay 26, 2015
Details
- NPI
- 1891174751
- Entity type
- Organization (NPI-2)
- Legal business name
- Hra-Iq PC
- Organization subpart
- Yes
- Enumeration date
- May 26, 2015
- Last updated
- May 26, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | – | – | Yes |
Practice location
4600 W 77th St#355
Edina, MN 55435-4909
Phone 612-741-2793
Mailing address
4600 W 77th St#355
Edina, MN 55435-4909
Authorized official
Steve Pontius
Ceo
6127412793
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