City Of White Bear Lake Mn in White Bear Lake - Community/behavioral Health
City Of White Bear Lake Mn - NPI 1053483248
City Of White Bear Lake Mn is a Community/behavioral Health in White Bear Lake, Minnesota. City Of White Bear Lake Mn practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for City Of White Bear Lake Mn is 1053483248. The last update date is 2020-08-22.
City Of White Bear Lake Mn's current location address is 1280 North Birch Lake Blvd, White Bear Lake, Minnesota. You can contact this provider via phone number 6514298544 and fax number 6514075301. The mailing address for City Of White Bear Lake Mn is 1280 North Birch Lake Blvd, White Bear Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | City Of White Bear Lake Mn |
|---|---|
| Address | 1280 North Birch Lake Blvd, White Bear Lake, Minnesota |
| Phone Number | 6514298544 |
| Fax Number | 6514075301 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR A |
|---|---|
| Authorized Official Name | Williams Belle Julie |
| Credentials | MSW LICSW |
| Telephone Number | 6514298544 |
NPI Number Detail
| NPI Number | 1053483248 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1280 North Birch Lake Blvd |
|---|---|
| City | White Bear Lake |
| State | Minnesota (MN) |
| Post Code | 551106708 |
| Phone Number | 6514298544 |
| Fax Number | 6514075301 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 8026811MHC |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| N008855 | CHAMPUS CLINIC # | ||
| 29626WH | MN | BLUE CROSS BLUE SHIELD | |
| 102981 | MN | UCARE MINNESOTA CLINIC # |
Post Comment/ Review Below
What is the unique provider identifier assigned to City Of White Bear Lake Mn?
The City Of White Bear Lake Mn has been issued the NPI (National Provider Identifier) 1053483248 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where City Of White Bear Lake Mn is located?
The City Of White Bear Lake Mn is situated at the following address: 1280 North Birch Lake Blvd, White Bear Lake, MN, 551106708.
What is City Of White Bear Lake Mn's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for City Of White Bear Lake Mn is Community/behavioral Health, and the taxonomy code that classifies this field of practice is 251S00000X.
On what date did the City Of White Bear Lake Mn receive the assignment of its 1053483248 from the Centers for Medicare & Medicaid Services?
The City Of White Bear Lake Mn was issued its 1053483248 by the Centers for Medicare & Medicaid Services on 2006-11-14.
When was the information pertaining to City Of White Bear Lake Mn most recently updated or revised?
The details related to City Of White Bear Lake Mn, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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