Organization
GEROPSYCH HEALTH SERVICES, INC.
Active
Other names
Geropsych
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAUNDA M ST. MARTIN NP-CNS (OWNER)
(218) 209-1137
Entity
Organization
Contact information
Practice address
611 SPRUCE GROVE LN NW, BEMIDJI, MN 56601-7746
(218) 209-1137
(218) 333-0335
Mailing address
611 SPRUCE GROVE LN NW, P.O. BOX 155, BEMIDJI, MN 56601-7746
(218) 209-1137
(218) 333-0335
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R1077485
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014080500
—
MN
01
—
0199999
MEDICA
MN
01
—
13481
ND DEFINITY
ND
05
—
13481
—
ND
01
—
DC6885
RR MEDICARE
MN
Enumeration date
11/07/2006
Last updated
09/10/2013
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