NORTHWESTERN HEALTH SCIENCES UNIVERSITY NPI 1124103544

NPI Information

NPI: 1124103544
Provider Name: NORTHWESTERN HEALTH SCIENCES UNIVERSITY
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 24D0718074

Address:
2501 W 84TH ST
BLOOMINGTON, MN
ZIP 55431
Phone: (952) 888-4777
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NORTHWESTERN HEALTH SCIENCES UNIVERSITY is a multi-specialty clinic center in Bloomington, MN. NORTHWESTERN HEALTH SCIENCES UNIVERSITY NPI is 1124103544. The provider is registered as an organization entity type.

The provider's business location address is:

2501 W 84TH ST
BLOOMINGTON, MN
ZIP 55431-602
Phone: (952) 888-4777
Fax: (952) 886-7590

The provider's authorized official is John B Wolfe .
The authorized official title is Compliance Officer and has the following contact phone number (952) 888-4777.

The CLIA number assigned to this NPI record is 24D0718074 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 12/27/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7261471	MEDICAID	MINNESOTA

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: 11/14/2023

NPI Synchronization or Removal

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