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BLUESTEM CENTER FOR CHILD AND FAMILY DEVELOPMENT P.A. NPI 1003868167


NPI Information

NPI: 1003868167
Provider Name: BLUESTEM CENTER FOR CHILD AND FAMILY DEVELOPMENT, P.A.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
124 ELTON HILLS LN NW
ROCHESTER, MN
ZIP 55901
Phone: (507) 282-1009
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BLUESTEM CENTER FOR CHILD AND FAMILY DEVELOPMENT, P.A. is a mental health (including community mental health center) clinic center in Rochester, MN. BLUESTEM CENTER FOR CHILD AND FAMILY DEVELOPMENT, P.A. NPI is 1003868167. The provider is registered as an organization entity type.

The provider's business location address is:

124 ELTON HILLS LN NW
ROCHESTER, MN
ZIP 55901-577
Phone: (507) 282-1009

The provider's authorized official is Susan C Jenkins .
The authorized official title is President and has the following contact phone number (507) 282-1009.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 9/16/2014.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C03243MEDICARE UPINMINNESOTA

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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