# TCOH PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154337913
- **Authorized official:** JANICE K BAVERTY (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (651) 224-8264

## Contact information

- **Practice address:** 2520 PILOT KNOB RD, MENDOTA HEIGHTS, MN 55120-1137
- **Practice address phone:** (651) 224-8264
- **Mailing address:** 2520 PILOT KNOB RD, MENDOTA HEIGHTS, MN 55120-1137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 10/20/2010