Tubman in Minneapolis - Rehabilitation, Substance Use Disorder
Tubman - NPI 1295866911
Tubman is a Rehabilitation, Substance Use Disorder in Minneapolis, Minnesota. Tubman practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Tubman is 1295866911. The last update date is 2008-11-12.
Tubman's current location address is 4432 Chicago Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 6128702444 and fax number 6128702428. The mailing address for Tubman is 4432 Chicago Ave S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Tubman |
---|---|
Address | 4432 Chicago Ave S, Minneapolis, Minnesota |
Phone Number | 6128702444 |
Fax Number | 6128702428 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
---|---|
Authorized Official Name | Dusso Beverly |
Telephone Number | 6127676690 |
NPI Number Detail
NPI Number | 1295866911 |
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Provider Enumeration Date | 2007-03-07 |
Last Updated Date | 2008-11-12 |
Provider Mailing Address Detail
Address | 4432 Chicago Ave S |
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City | Minneapolis |
State | Minnesota (MN) |
Post Code | 554073519 |
Phone Number | 6128702444 |
Fax Number | 6128702428 |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation, Substance Use Disorder |
---|---|
Taxonomy | 261Qr0405X |
Licence No | 800488-3-CDT |
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
575255800 | MN | -- | |
257080700 | MN | -- | |
9026CH | MN | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Tubman by the Centers for Medicare & Medicaid Services?
The Tubman has been assigned the NPI (National Provider Identifier) 1295866911. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tubman's facilities are situated?
The facilities of Tubman are physically located at the following address: 4432 Chicago Ave S, Minneapolis, MN, 554073519.
What is Tubman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tubman is Rehabilitation, Substance Use Disorder, and the taxonomy code that categorizes this field of expertise is 261Qr0405X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295866911 to Tubman?
The Centers for Medicare & Medicaid Services originally issued the 1295866911 to Tubman on 2007-03-07.
When was the information pertaining to Tubman most recently updated or revised?
The details related to Tubman, including its address, specialty, and other relevant information, were last updated or revised on 2008-11-12.
NPI Number: 1861489502
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