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Organization

INTERIM HEALTHCARE OF THE TWIN CITIES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS RICHARD GEARY (CHIEF ADMINISTRATIVE OFFICER)
(651) 917-3634
Entity
Organization

Contact information

Practice address
2200 UNIVERSITY AVE W, SUITE 160, SAINT PAUL, MN 55114-1839
(651) 917-3634
(651) 917-3620
Mailing address
2200 UNIVERSITY AVE W, SUITE 160, SAINT PAUL, MN 55114-1839
(651) 917-3634
(651) 917-3620

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
331118
MN
251E00000X
Home Health Agency
331122
MN
251E00000X
Home Health Agency
332058
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102986
UCARE PROVIDER NUMBER
MN
01
2C44IN
BLUE CROSS PROVIDER NUMBE
MN
05
358600600
MN
01
59-80004
MEDICA PROVIDER NUMBER
MN
01
79231
HEALTHPARTNERS PROVIDER N
MN
Enumeration date
09/06/2006
Last updated
09/24/2008
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