Organization
REGIONAL PHYSICIAN SERVICES OF MINNESOTA PC
Active
Parent organization
COMMUNITY CARE HEALTH NETWORK INC
Other names
Matrix Medical Network
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CARE HEALTH NETWORK INC
Authorized official
VICTORIA ALVAREZ (DIRECTOR, CREDENTIALING)
(480) 862-1695
Entity
Organization
Contact information
Practice address
100 S 5TH ST FL 19, MINNEAPOLIS, MN 55402-1210
(480) 862-1677
(480) 718-7643
Mailing address
9201 E MOUNTAIN VIEW, SUITE 220, SCOTTSDALE, AZ 85258
(480) 862-1700
(480) 907-1537
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/21/2009
Last updated
12/10/2019
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