ADDICTION CARE PHYSICIANS NPI 1962899013

NPI Information

  • NPI: 1962899013
  • Provider Name: ADDICTION CARE PHYSICIANS
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 4001 STINSON BLVD
    SUITE 212
    MINNEAPOLIS, MN
    ZIP 55421
  • Phone: (612) 788-2273

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NPI Details

ADDICTION CARE PHYSICIANS is a substance abuse rehabilitation facility in Minneapolis, MN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ADDICTION CARE PHYSICIANS NPI is 1962899013. The provider is registered as an organization entity type.

The provider's business location address is:

4001 STINSON BLVD
SUITE 212
MINNEAPOLIS, MN
ZIP 55421-488
Phone: (612) 788-2273
Fax: (612) 886-1939

The provider's authorized official is Sirri Atang Nomo-ongolo .
The authorized official title is Administration and has the following contact phone number (612) 788-2273.

The enumeration date for this NPI number is 4/16/2015 and was last updated on 4/16/2015.

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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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
1000000000OTHER000000000

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: 11/21/2025

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