1720354004 NPI number — NEW SALEM METORMORPHOSIS YOUTH PROGRAM

Table of content: (NPI 1720354004)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720354004 NPI number — NEW SALEM METORMORPHOSIS YOUTH PROGRAM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW SALEM METORMORPHOSIS YOUTH PROGRAM
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:
1720354004
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/30/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2507 BRYANT AVE N
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MINNEAPOLIS
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55411-2116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
612-250-8799
Provider Business Mailing Address Fax Number:
612-529-9416

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2509 BRYANT AVE NORTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-250-8799
Provider Business Practice Location Address Fax Number:
612-529-9416
Provider Enumeration Date:
03/30/2012

Additional Information

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
HORTENESE
Authorized Official Middle Name:
NENE
Authorized Official Title or Position:
PROGRAM ADMINISTRATOR
Authorized Official Telephone Number:
612-250-8799

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  301674 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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