Organization · Type 2 NPI

Concierge Healthcare

Clinic/Center · Brooklyn Center, MN

NPI number 1992220461 Active

Practice location

3260 County Road 10 Ste G
Brooklyn Center, MN 55429-3161

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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NPI record

NPI: 1992220461
Entity type: Organization (Type 2)
Issued: Aug 7, 2017
Last updated: Jul 21, 2022
Status: Active

Other names

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Concierge Healthcare and Chronic Pain Management · doing business as

Authorized official

Mary Joanne Stahl, ARNP
Owner/ Nurse Practitioner
(763) 951-2308

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1992220461

Concierge Healthcare's National Provider Identifier is 1992220461, issued on Aug 7, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Brooklyn Center, MN. The record was last updated on Jul 21, 2022.