Organization
CITY OF BLOOMINGTON
Active
Other names
Bloomington Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE PAULSEN DNP, MSN, PHN (HEALTH ADMINISTRATOR)
(952) 563-8905
Entity
Organization
Contact information
Practice address
1900 W OLD SHAKOPEE RD, BLOOMINGTON, MN 55431-3029
(952) 563-8900
(952) 563-8997
Mailing address
1800 W OLD SHAKOPEE RD, BLOOMINGTON, MN 55431-3071
(952) 563-8700
(952) 563-8997
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079553400
—
MN
01
—
1613BL
BLUE CROSS BLUE SHIELD
MN
01
—
164328
UCARE
MN
01
—
570001
METROPOLITAN HEALTH PLAN
MN
01
—
8300076
MEDICA
MN
05
—
885353300
—
MN
Enumeration date
12/22/2006
Last updated
03/19/2020
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