NPI 1316147135

Parkside Health Care, LLC

Organisation Health Maintenance Organization Bloomington, MN

Practice location

Address: 8609 Lyndale Ave S Suite 105b, Bloomington, MN 55420-2754
Phone: (952) 303-3104

Authorised official

Name: Beverly Buckner
Title: Owner/Director
Phone: (952) 303-3104

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1316147135
Entity type: Organization
NPI issued: 19 Jul 2007
Record last updated: 19 Jul 2007

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.