Northern Lights Athlete Village

LBN: Northern Lights Athlete Village
Northern Lights Athlete Village is an health care organization with primary practice located at 8109 Bryant Ave S , Bloomington MN 55420-5711. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Northern Lights Athlete Village can be contacted via phone (952) 888-4311, or through Smith, Stephanie via phone (952) 888-4311.

Contact Information

Primary practice address
8109 Bryant Ave S Bloomington MN 55420-5711
Fax:
Website:
Authorized official contact:
Name: Smith, Stephanie Athletic Trainer, Certified (ATC)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 1411 Minnesota

Profile Details

NPI number 1376727735
LBN Legal business name Northern Lights Athlete Village
DBA Doing business as
Authorized official Smith, Stephanie Athletic Trainer, Certified (ATC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2007
Last updated Dec 20th, 2007 - about 19 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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