Bush Evening Treatment

LBN: Amherst H. Wilder Foundation
Bush Evening Treatment is an health care organization with primary practice located at 451 Lexington Pkwy N , Saint Paul MN 55104-4636. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Amherst H. Wilder Foundation can be contacted via phone (651) 280-2000, or through Goodwin, Morris via phone (651) 280-2000.

Contact Information

Primary practice address
451 Lexington Pkwy N Saint Paul MN 55104-4636
Phone: (651) 280-2000
Fax: (651) 280-3995
Website:
Map and Directions
Authorized official contact:
Name: Goodwin, Morris
Phone: (651) 280-2000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1538312939
LBN Legal business name Amherst H. Wilder Foundation
DBA Doing business as Bush Evening Treatment
Authorized official Goodwin, Morris
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2008
Last updated Oct 29th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538312939 NPPES
Minnesota Other 555055600 MEDICAL ASSISTANCE

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