Minnesota Indian Primary Residential Treatment Center, Inc., NPI 1588732762
Lodging Provider in Duluth, MN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1588732762 |
| NPI Entity Type | Organization |
| Provider Name |
Minnesota Indian Primary Residential Treatment Center, Inc.
Other Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 229 N. 4th Avenue West, Duluth, MN, US |
| Provider Mailing Address | P.o. Box 66, Sawyer, MN, US, 55780 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Deborah F Kamunen |
| Official Position | BUSINESS MANAGER |
| Phone | 218-879-6731 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Lodging Provider |
| Classification | |
| Group | |
| Description | A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 8025091CDT | MN | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 786355100 | MN | MEDICAID | 05 |
| 9594TH | MN | BCBS OF MINNESOTA | 01 |
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