1861108672 NPI number — STATE OF MINNESOTA MINNESOTA MANAGEMENT AND BUDGET

Table of content: (NPI 1861108672)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861108672 NPI number — STATE OF MINNESOTA MINNESOTA MANAGEMENT AND BUDGET

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STATE OF MINNESOTA MINNESOTA MANAGEMENT AND BUDGET
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:
1861108672
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5101 MINNEHAHA AVE. S
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:
55417-1647
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
905 WINDMILL ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PRESTON
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55965-1226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-765-7329
Provider Business Practice Location Address Fax Number:
612-548-5964
Provider Enumeration Date:
01/25/2023

Additional Information

Authorized Official

Authorized Official Last Name:
HUGHES
Authorized Official First Name:
DOUGLAS
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
MDVA HEALTHCARE DEPUTY COMMISSIONER
Authorized Official Telephone Number:
651-757-1570

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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