Upside Psychiatric | |
1526 30th St Nw Bemidji MN 56601-4140 | |
(218) 751-0887 | |
Not Available |
Full Name | Upside Psychiatric |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 1526 30th St Nw, Bemidji, Minnesota |
Authorized Official Name and Position | Miriam Elaine Tell (PMHNP) |
Authorized Official Contact | 2187665344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Upside Psychiatric Po Box 1795 Bemidji MN 56619-1795 Ph: (218) 766-5344 | Upside Psychiatric 1526 30th St Nw Bemidji MN 56601-4140 Ph: (218) 751-0887 |
NPI Number | 1336443225 |
---|---|
Provider Enumeration Date | 01/06/2011 |
Last Update Date | 12/17/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336443225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | R127204-4 (Minnesota) | Primary |
273R00000X | Psychiatric Unit | R1272044 (Minnesota) | Secondary |
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