Organization
MAPLE GROVE URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE SABA RN (CLINIC MANAGER)
(763) 420-7048
Entity
Organization
Contact information
Practice address
12000 ELM CREEK BLVD N, MAPLE GROVE, MN 55369-7073
(763) 420-7048
(763) 420-7938
Mailing address
12000 ELM CREEK BLVD N, MAPLE GROVE, MN 55369-7074
(763) 420-7048
(763) 420-7938
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06042GR
BLUE CROSS BLUE SHIELD
MN
01
—
1004619
PREFERRED ONE
MN
01
—
125487
UCARE/SENIOR
MN
01
—
6619071
MEDICA CHOICE
MN
Enumeration date
05/03/2006
Last updated
08/22/2020
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