Kathleen Healthcare Center

LBN: Kathleen Healthcare Center
Kathleen Healthcare Center is an health care organization with primary practice located at 2647 Bloomington Ave , Minneapolis MN 55407-1187. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Kathleen Healthcare Center can be contacted via phone (612) 345-7823, or through Matthews, Kathleen via phone (612) 978-3209.

Contact Information

Primary practice address
2647 Bloomington Ave Minneapolis MN 55407-1187
Phone: (612) 345-7823
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matthews, Kathleen LICSW
Phone: (612) 978-3209

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Minnesota

Profile Details

NPI number 1295213759
LBN Legal business name Kathleen Healthcare Center
DBA Doing business as
Authorized official Matthews, Kathleen LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2018
Last updated Aug 6th, 2018 - about 8 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 1295213759 NPPES
Minnesota MEDICAID 1026933700023

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