Institute For Minority Dev

LBN: Institute For Minority Dev
Institute For Minority Dev is an health care organization with primary practice located at 3608 78Th Ave No , Brooklyn Park MN 55443. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Institute For Minority Dev can be contacted via phone (763) 566-4251, or through Gross, Ella Mae via phone (763) 566-4251.

Contact Information

Primary practice address
3608 78Th Ave No Brooklyn Park MN 55443
Fax: (763) 566-3049
Website:
Authorized official contact:
Name: Gross, Ella Mae

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 074522700 Minnesota
Agencies / Community/Behavioral Health 251S00000X 831150-3-SILS Minnesota
Agencies / Community/Behavioral Health 251S00000X 805936-5-WS Minnesota

Profile Details

NPI number 1508909730
LBN Legal business name Institute For Minority Dev
DBA Doing business as
Authorized official Gross, Ella Mae
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Oct 16th, 2008 - about 13 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 1508909730 NPPES
Minnesota MEDICAID 127812600

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