| Organization Name: | JING RIVER ACUPUNCTURE AND TRADITIONAL MEDICINE, LLC |
| NPI Number: | 1023322427 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | XIANGDONG YU (L.AC.) |
| Mailing Address: | 925 Highway 55 Suite 105 Hastings |
| State: | MN US |
| Postal Code: | 550333734 |
| Phone Number: | 6516743351 |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2010 |
| NPI Last Update Date: | 07/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 1406616 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |