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PROFESSIONAL RESOURCE NETWORK INC NPI 1447685235


NPI Information

NPI: 1447685235
Provider Name: PROFESSIONAL RESOURCE NETWORK, INC

Doing Business As: PROFESSIONAL RESOURCE NETWORK BEHAVIORAL HEALTH

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1 WATER ST W
SUITE 255
SAINT PAUL, MN
ZIP 55107
Phone: (952) 858-8807
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PROFESSIONAL RESOURCE NETWORK, INC is a community behavioral health in Saint Paul, MN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PROFESSIONAL RESOURCE NETWORK, INC NPI is 1447685235. The provider is registered as an organization entity type.
The provider Is Doing Business As Professional Resource Network Behavioral Health.

The provider's business location address is:

1 WATER ST W
SUITE 255
SAINT PAUL, MN
ZIP 55107-002
Phone: (952) 858-8807

The provider's authorized official is Charie L Devolites .
The authorized official title is Ceo and has the following contact phone number (952) 858-8807.

The enumeration date for this NPI number is 9/11/2013 and was last updated on 9/11/2013.


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
1251C00000XDay Training, Developmentally Disabled ServicesNo
2251S00000XCommunity/Behavioral HealthYes

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
111727900MEDICAIDMINNESOTA
2248054MEDICARE OSCAR/CERTIFICATIONMINNESOTA

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: 11/14/2023

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