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SUMMIT ORTHOPEDICS LTD. NPI 1275684128


NPI Information

NPI: 1275684128
Provider Name: SUMMIT ORTHOPEDICS, LTD.

Doing Business As: MINNESOTA OCCUPATIONAL HEALTH

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 24D2112640

Address:
1661 SAINT ANTHONY AVE
SAINT PAUL, MN
ZIP 55104
Phone: (651) 968-5300
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SUMMIT ORTHOPEDICS, LTD. is an occupational medicine clinic center in Saint Paul, MN. SUMMIT ORTHOPEDICS, LTD. NPI is 1275684128. The provider is registered as an organization entity type.
The provider Is Doing Business As Minnesota Occupational Health.

The provider's business location address is:

1661 SAINT ANTHONY AVE
SAINT PAUL, MN
ZIP 55104-633
Phone: (651) 968-5300
Fax: (651) 646-0205

The provider's authorized official is Jamison Young .
The authorized official title is Cfo and has the following contact phone number (651) 968-5655.

The CLIA number assigned to this NPI record is 24D2112640 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 5/8/2015.


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
1261QX0100XClinic/CenterOccupational MedicineYes

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
1C02163OTHERMINNESOTAMEDICARE PTAN

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

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