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FAMILY ADVOCACY CENTER OF NORTHERN MINNESOTA NPI 1568534576


NPI Information

NPI: 1568534576
Provider Name: FAMILY ADVOCACY CENTER OF NORTHERN MINNESOTA
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 24D2049467

Address:
4211 MINNKOTA AVE NW
BEMIDJI, MN
ZIP 56601
Phone: (218) 444-6127
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FAMILY ADVOCACY CENTER OF NORTHERN MINNESOTA is a specialist in Bemidji, MN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FAMILY ADVOCACY CENTER OF NORTHERN MINNESOTA NPI is 1568534576. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4211 MINNKOTA AVE NW
BEMIDJI, MN
ZIP 56601-078
Phone: (218) 444-6127
Fax: (218) 444-6129

The provider's authorized official is Sherry L Ellefson .
The authorized official title is Director and has the following contact phone number (218) 333-6011.

The CLIA number assigned to this NPI record is 24D2049467 - other - sexual assault nurse exam with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 8/22/2020.


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
1174400000XSpecialistR1031751MINNESOTAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.