SUMMIT INTEGRATED SERVICES LLC NPI 1174203335

NPI Information

  • NPI: 1174203335
  • Provider Name: SUMMIT INTEGRATED SERVICES LLC
  • Classification: Rehabilitation, Substance Use Disorder Unit - 276400000X
  • Entity Type: Organization
  • CLIA Number: 24D2313473
  • Address: 4205 LANCASTER LN N STE 100
    PLYMOUTH, MN
    ZIP 55441
  • Phone: (612) 600-4575

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NPI Details

SUMMIT INTEGRATED SERVICES LLC is a rehabilitation substance use disorder unit in Plymouth, MN. The provider is a distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) SUMMIT INTEGRATED SERVICES LLC NPI is 1174203335. The provider is registered as an organization entity type.

The provider's business location address is:

4205 LANCASTER LN N STE 100
PLYMOUTH, MN
ZIP 55441-702
Phone: (612) 600-4575

The provider's authorized official is Asad Hassan .
The authorized official title is Manager and has the following contact phone number (952) 737-2130.

The CLIA number assigned to this NPI record is 24D2313473 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2023 and was last updated on 10/14/2024.

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 License Number License State Primary
1251E00000XHome HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3276400000XRehabilitation, Substance Use Disorder UnitYes

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: 11/21/2025

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