Avalon - Pine City in New Brighton - Addiction (substance Use Disorder)
Avalon - Pine City - NPI 1316151335
Avalon - Pine City is a Addiction (substance Use Disorder) in New Brighton, Minnesota. Avalon - Pine City practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Avalon - Pine City is 1316151335. The last update date is 2020-08-22.
Avalon - Pine City's current location address is 550 Main St, New Brighton, Minnesota. You can contact this provider via phone number 6123267555. The mailing address for Avalon - Pine City is 550 Main St, New Brighton, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avalon - Pine City |
|---|---|
| Address | 550 Main St, New Brighton, Minnesota |
| Phone Number | 6123267555 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTROLLER |
|---|---|
| Authorized Official Name | Bundy Valerie |
| Telephone Number | 6123267555 |
NPI Number Detail
| NPI Number | 1316151335 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 550 Main St |
|---|---|
| City | New Brighton |
| State | Minnesota (MN) |
| Post Code | 551123271 |
| Phone Number | 6123267555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1034226 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identifier code issued to Avalon - Pine City by the Centers for Medicare & Medicaid Services?
The Avalon - Pine City has been assigned the NPI (National Provider Identifier) 1316151335 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Avalon - Pine City?
The Avalon - Pine City is physically situated at 550 Main St, in the city of New Brighton, state of MN, with the postal code 551123271.
What is Avalon - Pine City's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Avalon - Pine City's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did Avalon - Pine City receive its 1316151335 assignment from the Centers for Medicare & Medicaid Services?
The Avalon - Pine City was assigned its 1316151335 on 2007-05-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Avalon - Pine City most recently updated or revised?
The information pertaining to Avalon - Pine City, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.