White Bear Area Senior Progam Isd 624

LBN: White Bear Area Senior Progam Isd 624
White Bear Area Senior Progam Isd 624 is an health care organization with primary practice located at 2484 County Road F E , White Bear Lake MN 55110-7404. The organization recently has only one registered license in Suppliers / Home Delivered Meals, which is considered as the primary health care specialty. White Bear Area Senior Progam Isd 624 can be contacted via phone (612) 623-3363, or through Kazmierczak, Wayne via phone (612) 623-3363.

Contact Information

Primary practice address
2484 County Road F E White Bear Lake MN 55110-7404
Phone: (612) 623-3363
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kazmierczak, Wayne
Phone: (612) 623-3363

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Delivered Meals 332U00000X

Profile Details

NPI number 1134588031
LBN Legal business name White Bear Area Senior Progam Isd 624
DBA Doing business as
Authorized official Kazmierczak, Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2016
Last updated Feb 19th, 2016 - 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 1134588031 NPPES
Minnesota MEDICAID A365023500

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