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GENERATIONS HEALTH CARE INITIATIVE INC NPI 1790954279


NPI Information

NPI: 1790954279
Provider Name: GENERATIONS HEALTH CARE INITIATIVE INC

Doing Business As: FETAL ALCOHOL DIAGNOSTIC PROGRAM

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
5 N 3RD AVE W
SUITE 310
DULUTH, MN
ZIP 55802
Phone: (218) 740-6700
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GENERATIONS HEALTH CARE INITIATIVE INC is a clinic center in Duluth, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GENERATIONS HEALTH CARE INITIATIVE INC NPI is 1790954279. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fetal Alcohol Diagnostic Program.

The provider's business location address is:

5 N 3RD AVE W
SUITE 310
DULUTH, MN
ZIP 55802
Phone: (218) 740-6700
Fax: (218) 740-6710

The provider's authorized official is Daniel L Svendsen .
The authorized official title is Executive Director and has the following contact phone number (218) 336-5702.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 7/15/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist46825MINNESOTANo
2261Q00000XClinic/CenterYes

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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