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Contact Information

MARY T ASSOCIATES INC
1555 118TH LN NW
COON RAPIDS, MN55448-7579
 Phone: 763-862-5436
 Fax: 763-754-0332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for MARY T ASSOCIATES INC

NPI Number 1770643694
LBN Legal business name MARY T ASSOCIATES INC
Authorized official CONNIE WINBAUER - (CONTROLLER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/11/2006
Last updated 02/12/2008 - About 18 years ago
Identifiers
MN License # 331577
MN License # 801456
MN License # 801457
MN License # 801458
MN License # 801459
MN Medicaid 472845900
MN Medicaid 612745200
MN Medicaid 642845200
MN Medicaid 672745000
MN Medicaid 972525300
FM Other 104337 U CARE FC
MN Other 9394AB BCBS
MN Other 102207 HEALTH PARTNERS
MN Other 131415 U CARE HHA
MN Other 136968 U CARE PCA
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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