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Contact Information

ADVANCE SPECTRUM CENTER
704 40TH AVE NE UNIT 6
COLUMBIA HEIGHTS, MN55421-2901
 Phone: 218-409-0901
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for ADVANCE SPECTRUM CENTER

NPI # 1205724366
LBN Legal business name ADVANCE SPECTRUM CENTER
Authorized official URJI YUSUF - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2025
Last updated 06/26/2025 - About 11 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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