PARK AVE CENTER INC NPI 1720154081

NPI Information

NPI: 1720154081
Provider Name: PARK AVE CENTER INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 24D2236881

Address:
2318 PARK AVE
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 871-7443
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PARK AVE CENTER INC is a rehabilitation and substance use disorder clinic center in Minneapolis, MN. PARK AVE CENTER INC NPI is 1720154081. The provider is registered as an organization entity type.

The provider's business location address is:

2318 PARK AVE
MINNEAPOLIS, MN
ZIP 55404-712
Phone: (612) 871-7443
Fax: (612) 871-0194

The provider's authorized official is Linda Casagrande .
The authorized official title is Cfo and has the following contact phone number (612) 871-7443.

The CLIA number assigned to this NPI record is 24D2236881 - other - iop treatment center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 11/16/2022.

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	291U00000X	Clinical Medical Laboratory				No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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

NPI Synchronization or Removal

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