1821095076 NPI number — TOTEMS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821095076 NPI number — TOTEMS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOTEMS, INC.
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:
1821095076
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
228 CHESTNUT ST E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STILLWATER
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55082-4185
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
651-275-0441
Provider Business Mailing Address Fax Number:
651-430-3699

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
228 CHESTNUT ST E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STILLWATER
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55082-4185
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-275-0441
Provider Business Practice Location Address Fax Number:
651-430-3699
Provider Enumeration Date:
07/02/2005

Additional Information

Authorized Official

Authorized Official Last Name:
PRESSLEIN
Authorized Official First Name:
HEIDI
Authorized Official Middle Name:
MAE
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
651-275-0441

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 097L9TO . This is a "BCBS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 300J2TO . This is a "BCBS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 113122 . This is a "UCARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 91155 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




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