Avalon Eagan in New Brighton - Addiction (substance Use Disorder)
Avalon Eagan - NPI 1417161423
Avalon Eagan is a Addiction (substance Use Disorder) in New Brighton, Minnesota. Avalon Eagan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Avalon Eagan is 1417161423. The last update date is 2020-08-22.
Avalon Eagan'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 Eagan is 550 Main St, New Brighton, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avalon Eagan |
|---|---|
| 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 | 1417161423 |
|---|---|
| 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 | 830916 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the Avalon Eagan's 1417161423?
The Avalon Eagan's NPI (National Provider Identifier) Number is 1417161423. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Avalon Eagan's facilities are geographically located?
The facilities of Avalon Eagan are physically situated at the following location: 550 Main St, New Brighton, MN, 551123271.
What is Avalon Eagan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Avalon Eagan is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did Avalon Eagan receive its 1417161423 assignment from the Centers for Medicare & Medicaid Services?
The Avalon Eagan was assigned its 1417161423 on 2007-05-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Avalon Eagan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Avalon Eagan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY