Organization Name: | AVALON MERIDIAN BEHAVIORAL HEALTH |
NPI Number: | 1225387327 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEONE MAUREEN ANDERSON (DRUG AND ALCOHOL COUNSELOR) |
Mailing Address: | 645 3rd Avenue Sw Pine City |
State: | MN US |
Postal Code: | 55063 |
Phone Number: | 3206291362 |
Fax Number: | 3206293454 |
NPI Enumeration Date: | 09/05/2012 |
NPI Last Update Date: | 09/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 303283 |
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 |