CANVAS HEALTH INC. NPI 1205056942

NPI Information

NPI: 1205056942
Provider Name: CANVAS HEALTH, INC.

Former Legal Business Name: HUMAN SERVICES, INC. IN WASHINGTON COUNTY

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
375 ORLEANS ST E
STILLWATER, MN
ZIP 55082
Phone: (651) 431-0720
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CANVAS HEALTH, INC. is a mental health counselor in Stillwater, MN. CANVAS HEALTH, INC. NPI is 1205056942. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Human Services, Inc. In Washington County.

The provider's business location address is:

375 ORLEANS ST E
STILLWATER, MN
ZIP 55082-830
Phone: (651) 431-0720
Fax: (651) 351-3155

The provider's authorized official is Matthew M. Eastwood .
The authorized official title is Coo and has the following contact phone number (651) 777-5222.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 2/1/2012.

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	101YM0800X	Counselor	Mental Health	801109	MINNESOTA	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	082518200	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: 5/5/2024

NPI Synchronization or Removal

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