NPI 1225387327

Avalon Meridian Behavioral Health

Organisation Health Maintenance Organization Pine City, MN

Practice location

Address: 645 3rd Avenue SW, Pine City, MN 55063
Phone: (320) 629-1362
Fax: (320) 629-3454

Authorised official

Name: Leone Maureen Anderson
Title: Drug and Alcohol Counselor
Phone: (320) 629-1362

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 303283 (MN)

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Registry record

NPI: 1225387327
Entity type: Organization
NPI issued: 5 Sep 2012
Record last updated: 5 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.