Isd 621

LBN: Isd 621
Isd 621 is an health care organization with primary practice located at 2101 14Th St Nw , New Brighton MN 55112-1841. The organization recently has only one registered license in Suppliers / Home Delivered Meals, which is considered as the primary health care specialty. Isd 621 can be contacted via phone (612) 623-3363, or through Ellefson, Joyce via phone (612) 623-3363.

Contact Information

Primary practice address
2101 14Th St Nw New Brighton MN 55112-1841
Phone: (612) 623-3363
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellefson, Joyce
Phone: (612) 623-3363

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Delivered Meals 332U00000X

Profile Details

NPI number 1811366388
LBN Legal business name Isd 621
DBA Doing business as
Authorized official Ellefson, Joyce
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2015
Last updated Sep 15th, 2015 - about 10 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 1811366388 NPPES
Minnesota MEDICAID A506713800

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