Interlachen Lodge Operated By Interlodge in Edina - Community/behavioral Health
Interlachen Lodge Operated By Interlodge - NPI 1427258599
Interlachen Lodge Operated By Interlodge is a Community/behavioral Health in Edina, Minnesota. Interlachen Lodge Operated By Interlodge practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Interlachen Lodge Operated By Interlodge is 1427258599. The last update date is 2007-07-18.
Interlachen Lodge Operated By Interlodge's current location address is 5141 William Ave, Edina, Minnesota. You can contact this provider via phone number 9527670360 and fax number 9529228892. The mailing address for Interlachen Lodge Operated By Interlodge is 5141 William Ave, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Interlachen Lodge Operated By Interlodge |
|---|---|
| Address | 5141 William Ave, Edina, Minnesota |
| Phone Number | 9527670360 |
| Fax Number | 9529228892 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Trepp John |
| Telephone Number | 6128713320 |
NPI Number Detail
| NPI Number | 1427258599 |
|---|---|
| Provider Enumeration Date | 2007-07-18 |
| Last Updated Date | 2007-07-18 |
Provider Mailing Address Detail
| Address | 5141 William Ave |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554362126 |
| Phone Number | 9527670360 |
| Fax Number | 9529228892 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 1044976 |
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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 |
|---|---|---|---|
| 1044976 | MN | DEPT. OF HUMAN SERVICES - |
Post Comment/ Review Below
What is the unique provider identifier assigned to Interlachen Lodge Operated By Interlodge?
The Interlachen Lodge Operated By Interlodge has been issued the NPI (National Provider Identifier) 1427258599 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 Interlachen Lodge Operated By Interlodge is located?
The Interlachen Lodge Operated By Interlodge is situated at the following address: 5141 William Ave, Edina, MN, 554362126.
What is the Interlachen Lodge Operated By Interlodge's specialty and taxonomy code?
The Interlachen Lodge Operated By Interlodge's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
When did Interlachen Lodge Operated By Interlodge receive its 1427258599 assignment?
The Interlachen Lodge Operated By Interlodge was assigned its 1427258599 on 2007-07-18, which is the date when this unique identifier was issued to the organization.
When was the information regarding Interlachen Lodge Operated By Interlodge most recently updated?
The details pertaining to the Interlachen Lodge Operated By Interlodge, including its address, specialty, and other relevant information, were last refreshed on 2007-07-18.