1861696056 NPI number — EMILY RUTH CONOVER DOWNING M.D.

Table of content: EMILY RUTH CONOVER DOWNING M.D. (NPI 1861696056)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861696056 NPI number — EMILY RUTH CONOVER DOWNING M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DOWNING
Provider First Name:
EMILY
Provider Middle Name:
RUTH CONOVER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861696056
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/10/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3433 BROADWAY ST NE
Provider Second Line Business Mailing Address:
STE 300
Provider Business Mailing Address City Name:
MINNEAPOLIS
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55413-1761
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
763-587-7737
Provider Business Mailing Address Fax Number:
763-587-7069

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1055 WESTGATE DRIVE, SUITE 100
Provider Second Line Business Practice Location Address:
ALLINA HOME AND COMMUNITY SERVICES
Provider Business Practice Location Address City Name:
SAINT PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-423-4059
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/12/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  2432 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RG0300X , with the licence number: 53794 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)