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NPI 1740726090 · Health Maintenance Organization · Saint Cloud, MN
Provider details
- NPI number
- 1740726090
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Abdiwali Ali, General Mannager(612) 707-2272
Specialties & taxonomies
Managed Care Organizations
Practice location
400 1st St S Ste 640
Saint Cloud, MN 56301-3641
Phone: (612) 707-2272
Approximate (ZIP-level) locationGet directions
Mailing address
400 1st St S Ste 640
Saint Cloud, MN 56301-3641
Registry dates
- Enumerated
- 2017-01-10
- Last updated
- 2017-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.