Rooted Health Pllc | |
3620 Bemidji Ave N Bemidji MN 56601-4333 | |
(320) 249-6541 | |
Not Available |
Full Name | Rooted Health Pllc |
---|---|
Speciality | Family Medicine |
Location | 3620 Bemidji Ave N, Bemidji, Minnesota |
Authorized Official Name and Position | Jenna M Gross (NURSE PRACTITIONER) |
Authorized Official Contact | 3202496541 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rooted Health Pllc 3620 Bemidji Ave N Bemidji MN 56601-4333 Ph: (320) 249-6541 | Rooted Health Pllc 3620 Bemidji Ave N Bemidji MN 56601-4333 Ph: (320) 249-6541 |
NPI Number | 1679334817 |
---|---|
Provider Enumeration Date | 01/16/2024 |
Last Update Date | 01/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679334817 | NPI | - | NPPES |
1629451869 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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