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Contact Information

ATHLOS ACADEMY OF ST. CLOUD
3701 33RD ST S
SAINT CLOUD, MN56301-2600
 Phone: 320-281-4430
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Local Education Agency (LEA)

251300000X
Indicates primary specialty

NPI Profile & details for ATHLOS ACADEMY OF ST. CLOUD

NPI Number 1972038909
LBN Legal business name ATHLOS ACADEMY OF ST. CLOUD
Authorized official KATHY MORTENSEN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2017
Last updated 04/27/2017 - About 9 years 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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