TWO RIVERS LUNG SPECIALISTS P. A. NPI 1902839947

NPI Information

NPI: 1902839947
Provider Name: TWO RIVERS LUNG SPECIALISTS, P. A.
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
4040 COON RAPIDS BLVD NW
SUITE #100
COON RAPIDS, MN
ZIP 55433
Phone: (763) 236-9494
Get Directions

TWO RIVERS LUNG SPECIALISTS, P. A. is a pulmonary disease internal medicine in Coon Rapids, MN. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. TWO RIVERS LUNG SPECIALISTS, P. A. NPI is 1902839947. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4040 COON RAPIDS BLVD NW
SUITE #100
COON RAPIDS, MN
ZIP 55433-522
Phone: (763) 236-9494
Fax: (763) 236-9495

The provider's authorized official is Jeanne M Nelson .
The authorized official title is President/owner and has the following contact phone number (763) 236-9494.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 1/26/2010.

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	207RP1001X	Internal Medicine	Pulmonary Disease	1564	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	83654	OTHER	MINNESOTA	HEALTH PART
2	CJ7024	MEDICARE PIN	MINNESOTA
3	0001	OTHER	MINNESOTA	MEDICA
4	142464	OTHER	MINNESOTA	UCARE
5	C01772	MEDICARE PIN	MINNESOTA
6	193J9TW	OTHER	MINNESOTA	BCBS OF MN
7	CJ7024	OTHER	MINNESOTA	RAILROAD MEDICARE
8	788700100	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

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