Provider Type Icon

CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL AND MPLS NPI 1063592434


NPI Information

NPI: 1063592434
Provider Name: CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL AND MPLS

Doing Business As: ST JOSEPHS COMMUNITY HEALTH CLINIC

Classification: Nurse Practitioner - 363LC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1121 E 46TH ST
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 204-8387
Get Directions

CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL AND MPLS is a community health nurse practitioner in Minneapolis, MN. CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL AND MPLS NPI is 1063592434. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As St Josephs Community Health Clinic.

The provider's business location address is:

1121 E 46TH ST
MINNEAPOLIS, MN
ZIP 55407-562
Phone: (612) 204-8387

The provider's authorized official is Yolanda O'reilly .
The authorized official title is Billing Mgr and has the following contact phone number (612) 204-8387.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 1/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LC1500XNurse PractitionerCommunity HealthMINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1699726100MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.