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COURAGE CENTER NPI 1629120563


NPI Information

NPI: 1629120563
Provider Name: COURAGE CENTER

Doing Business As: HOME AND COMMUNITY BASED REHABILITATION

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
3915 GOLDEN VALLEY RD
GOLDEN VALLEY, MN
ZIP 55422
Phone: (612) 588-0811
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COURAGE CENTER is a rehabilitation clinic center in Golden Valley, MN. COURAGE CENTER NPI is 1629120563. The provider is registered as an organization entity type.
The provider Is Doing Business As Home And Community Based Rehabilitation.

The provider's business location address is:

3915 GOLDEN VALLEY RD
GOLDEN VALLEY, MN
ZIP 55422-249
Phone: (612) 588-0811
Fax: (763) 520-0237

The provider's authorized official is Jeanne Olson .
The authorized official title is Program Director and has the following contact phone number (763) 520-0283.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 4/25/2008.


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
1261QR0400XClinic/CenterRehabilitation8356799MINNESOTAYes

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
11041648OTHERMINNESOTAPREFERRED ONE
26899HCUOTHERMINNESOTABCBS OF MN

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

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