1538363221 NPI number — NOW CARE MEDICAL CENTERS

Table of content: (NPI 1538363221)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538363221 NPI number — NOW CARE MEDICAL CENTERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NOW CARE MEDICAL CENTERS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1538363221
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/26/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2000 PLYMOUTH RD STE 250
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MINNETONKA
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55305-2376
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
952-593-9818
Provider Business Mailing Address Fax Number:
952-593-5187

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2600 39TH AVE NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ST ANTHONY
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-706-2980
Provider Business Practice Location Address Fax Number:
612-706-2981
Provider Enumeration Date:
06/14/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DUNLEAVY
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
Authorized Official Title or Position:
DIR HUMAN RESOURCES
Authorized Official Telephone Number:
952-767-2326

Provider Taxonomy Codes

  • Taxonomy code: 261QU0200X , with the licence number:  1026 , 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)