HENNEPIN HEALTHCARE SYSTEMS INC. NPI 1841742699

NPI Information

NPI: 1841742699
Provider Name: HENNEPIN HEALTHCARE SYSTEMS, INC.

Other Name: HCMC PSYCHIATRY CRISIS RESIDENTIAL

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3633 CHICAGO AVE, SOUTH
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 873-3000
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HENNEPIN HEALTHCARE SYSTEMS, INC. is a community based residential treatment facility mental illness in Minneapolis, MN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. HENNEPIN HEALTHCARE SYSTEMS, INC. NPI is 1841742699. The provider is registered as an organization entity type.
The provider Other Name Is Hcmc Psychiatry Crisis Residential.

The provider's business location address is:

3633 CHICAGO AVE, SOUTH
MINNEAPOLIS, MN
ZIP 55407-603
Phone: (612) 873-3000

The provider's authorized official is Derrick Hollings .
The authorized official title is Chief Financial Officer and has the following contact phone number (612) 873-5340.

The enumeration date for this NPI number is 10/27/2016 and was last updated on 10/27/2016.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1407897309	OTHER	MINNESOTA	HENNEPIN COUNTY MEDICAL CENTER'S NPI

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

NPI Synchronization or Removal

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