Organization
BST ALBERT LEA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAC SCHMIDT (PROVIDER ENROLLMENT)
(605) 541-1140
Entity
Organization
Contact information
Practice address
2440 BRIDGE AVE STE 300, ALBERT LEA, MN 56007-2005
(605) 541-1140
(605) 541-0109
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
(605) 541-0109
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
05/07/2021
Last updated
03/24/2022
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