MBH-MN MEDICAL CLINIC PA – NPI #1922586270
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

MBH-MN MEDICAL CLINIC PA is an AHC clinic located in NEW BRIGHTON, MN. NPPES has assigned the NPI number 1922586270 to MBH-MN MEDICAL CLINIC PA on July 30, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 24 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 8 years ago on Aug 30, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MBH-MN MEDICAL CLINIC PA below.

NPI Profile for
MBH-MN MEDICAL CLINIC PA

NPI Number
1922586270
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MBH-MN MEDICAL CLINIC PA
Primary location
550 MAIN ST STE 260
NEW BRIGHTON, MN 55112-3273
Phone: (612) 326-7558 Fax:
24 Other location(s):
2215 S 6th St
Brainerd, MN 56401-5549
Phone: (218) 454-1010
2807 Brookdale Dr
Brooklyn Park, MN 55444-1844
Phone: (763) 237-9898
3470 Washington Dr Ste 165
Eagan, MN 55122-3517
Phone: (651) 454-2833
1111 Gateway Dr NE
East Grand Forks, MN 56721-2620
Phone: (218) 793-0420
19230 Evans St NW Ste 203
Elk River, MN 55330-1574
Phone: (612) 248-1455
114 N Holcombe Ave
Litchfield, MN 55355-2210
Phone: (320) 693-2461
140 Quail St
Mahtomedi, MN 55115-1941
Phone: (651) 429-2311
3329 University Ave SE
Minneapolis, MN 55414-3325
Phone: (612) 454-2340
11900 Wayzata Blvd Ste 100
Minnetonka, MN 55305-2018
Phone: (612) 454-2102
104 S 4th St
Olivia, MN 56277-1589
Phone: (320) 400-0001
2480 S County Road 45
Owatonna, MN 55060-5113
Phone: (612) 454-2130
17305 Meadow Creek Lane
Pine City, MN 55063
Phone: (763) 444-4838
4800 48th St NE
Rochester, MN 55906-2009
Phone: (507) 289-2753
135 Colorado St E
Saint Paul, MN 55107-2244
Phone: (651) 489-7740
1609 Jackson St
Saint Paul, MN 55117-3917
Phone: (651) 454-2016
1706 University Ave W
Saint Paul, MN 55104-3614
Phone: (651) 645-3661
1821 University Ave W Ste 385
Saint Paul, MN 55104-2872
Phone: (651) 647-0095
320 Sunrise Dr Ste B
Saint Peter, MN 56082-1353
Phone: (507) 931-0918
11400 Julianne Ave N
Stillwater, MN 55082-9436
Phone: (651) 426-3300
1825 Curve Crest Blvd W Ste 103
Stillwater, MN 55082-6054
Phone: (651) 351-9325
109 N Shore Dr
Waverly, MN 55390-5517
Phone: (763) 658-5800
7300 Estes Ave SW
Waverly, MN 55390-8432
Phone: (763) 658-5800
6043 Hudson Rd Ste 220
Woodbury, MN 55125-1033
Phone: (651) 925-8200
1680 Airport Rd N
Worthington, MN 56187-3500
Phone: (507) 376-3916
Mailing address
550 MAIN ST # 190
NEW BRIGHTON, MN 55112-3271
Phone: (612) 454-2046 Fax:
Organization Subpart
No
Authorized Official
BUD LILE
OWNER/MEDICAL DIRECTOR
Phone: (612) 232-7558
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.