NOVACARE OUTPATIENT REHABILIATION EAST INC NPI 1023208881

NPI Information

NPI: 1023208881
Provider Name: NOVACARE OUTPATIENT REHABILIATION EAST INC

Doing Business As: NOVACARE REHABILITATION

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

Specialization: Rehabilitation

Address:
8290 UNIVERSITY AVE NE
SUITE 300
FRIDLEY, MN
ZIP 55432
Phone: (717) 975-4503
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NOVACARE OUTPATIENT REHABILIATION EAST INC is a rehabilitation clinic center in Fridley, MN. NOVACARE OUTPATIENT REHABILIATION EAST INC NPI is 1023208881. The provider is registered as an organization entity type.
The provider Is Doing Business As Novacare Rehabilitation.

The provider's business location address is:

8290 UNIVERSITY AVE NE
SUITE 300
FRIDLEY, MN
ZIP 55432-847
Phone: (717) 975-4503

The provider's authorized official is Michael Tarvin .
The authorized official title is Vice President and has the following contact phone number (717) 975-4503.

The enumeration date for this NPI number is 7/27/2007 and was last updated on 3/12/2008.

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
1	261QR0400X	Clinic/Center	Rehabilitation			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	1226970004	OTHER	MINNESOTA	DME SUPPLIER NUMBER

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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