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Diamond Lake Clinic, P.c.
Point of Service in Minneapolis, Minnesota
NPI 1740669498

Diamond Lake Clinic, P.c. is a Point of Service based in Minneapolis, MN. Diamond Lake Clinic, P.c. practices in Minneapolis, MN. The NPI Number for Diamond Lake Clinic, P.c. is 1740669498 and holds a License No. 52657 (Minnesota).

The current practice location address for Diamond Lake Clinic, P.c. is 5939 Portland Ave, Minneapolis, MN and can be reached out via phone at 612-806-3011.

Location: 5939 Portland Ave, Minneapolis, MN, 55417-3127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740669498
Provider Name
Diamond Lake Clinic, P.c.
Credential
Provider Entity Type
Organization
Address
5939 Portland Ave, Minneapolis, MN, 55417-3127
Phone Number
612-806-3011
Fax Number
Provider Enumeration Date
05/27/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5939 Portland Ave
City
Minneapolis
State
Minnesota
Zip
55417-3127
Phone Number
612-806-3011
Fax Number
person
Provider Business Mailing Address Details
Address
5939 Portland Ave
City
Minneapolis
State
Minnesota
Zip
55417-3127
Phone Number
612-806-3011
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
52657 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
52657 (Minnesota)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
53530 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
52657 (Minnesota)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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