1215169909 NPI number — TRUSTEES OF THE HAMLINE UNIVERSITY OF MINNESOTA

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 1215169909 NPI number — TRUSTEES OF THE HAMLINE UNIVERSITY OF MINNESOTA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRUSTEES OF THE HAMLINE UNIVERSITY OF MINNESOTA
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:
6
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:
1215169909
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/14/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1536 HEWITT AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT PAUL
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55104-1205
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
651-523-2204
Provider Business Mailing Address Fax Number:
651-523-2820

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1513 ENGLEWOOD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ST. PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55104-1284
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-523-2204
Provider Business Practice Location Address Fax Number:
651-523-2820
Provider Enumeration Date:
08/14/2009

Additional Information

Authorized Official

Authorized Official Last Name:
ANDERSON
Authorized Official First Name:
DOUGLAS
Authorized Official Middle Name:
P
Authorized Official Title or Position:
VICE PRESIDENT FOR FINANCE
Authorized Official Telephone Number:
651-523-2203

Provider Taxonomy Codes

  • Taxonomy code: 261QS1000X , with the licence number:  N/A ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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