BESTWOOD AGENCY LLC NPI 1689371205

NPI Information

NPI: 1689371205
Provider Name: BESTWOOD AGENCY LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1506 33RD AVE N
SAINT CLOUD, MN
ZIP 56303
Phone: (612) 845-1096
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BESTWOOD AGENCY LLC is a clinic center in Saint Cloud, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BESTWOOD AGENCY LLC NPI is 1689371205. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1506 33RD AVE N
SAINT CLOUD, MN
ZIP 56303-525
Phone: (612) 845-1096

The provider's authorized official is Noor Yussuf .
The authorized official title is Owner and has the following contact phone number (612) 845-1096.

The enumeration date for this NPI number is 2/14/2023 and was last updated on 1/20/2024.

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	Primary
1	101YP2500X	Counselor	Professional	No
2	253J00000X	Foster Care Agency		No
3	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
4	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
5	315P00000X	Intermediate Care Facility, Intellectual Disabilities		No
6	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
7	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
8	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
9	261Q00000X	Clinic/Center		Yes

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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