REDONE FISCAL AGENT INC NPI 1841983533

NPI Information

NPI: 1841983533
Provider Name: REDONE FISCAL AGENT INC
Classification:
Entity Type: Organization
Address:
3249 19TH ST NW STE 3
ROCHESTER, MN
ZIP 55901
Phone: (507) 990-5187
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REDONE FISCAL AGENT INC is a healthcare provider in Rochester, MN. REDONE FISCAL AGENT INC NPI is 1841983533. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3249 19TH ST NW STE 3
ROCHESTER, MN
ZIP 55901-793
Phone: (507) 990-5187
Fax: (507) 448-5358

The provider's authorized official is Omar Sheikh Roble Hassan .
The authorized official title is Ceo and has the following contact phone number (507) 990-5187.

The enumeration date for this NPI number is 5/30/2023 and was last updated on 5/30/2023.

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	171W00000X	Contractor				No

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	385H00000X	MEDICAID	MINNESOTA

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

NPI Synchronization or Removal

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