Interlachen Lodge Operated By Interlodge

LBN: Interlachen Lodge Operated By Interlodge
Interlachen Lodge Operated By Interlodge is an health care organization with primary practice located at 5141 William Ave , Edina MN 55436-2126. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Interlachen Lodge Operated By Interlodge can be contacted via phone (952) 767-0360, or through Trepp, John via phone (612) 871-3320.

Contact Information

Primary practice address
5141 William Ave Edina MN 55436-2126
Phone: (952) 767-0360
Fax: (952) 922-8892
Website:
Map and Directions
Authorized official contact:
Name: Trepp, John
Phone: (612) 871-3320

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1044976 Minnesota

Profile Details

NPI number 1427258599
LBN Legal business name Interlachen Lodge Operated By Interlodge
DBA Doing business as
Authorized official Trepp, John
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2007
Last updated Jul 18th, 2007 - 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 1427258599 NPPES
Minnesota Other 1044976 DEPT. OF HUMAN SERVICES -

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