National Provider Identifier Database

FAMILYWISE SERVICES
Voluntary or Charitable


Contact Information

FAMILYWISE SERVICES
3036 UNIVERSITY AVE SE
MINNEAPOLIS, MN55414-3316
Phone: 612-617-0191
Fax: 612-617-0193
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for FAMILYWISE SERVICES

NPI Number 1275634230
Legal business name
LBN
FAMILYWISE SERVICES
Authorized official ANN GAASCH - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/25/2006
Last updated 07/22/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Medicaid: 198428400
  • MN Other: 835556800 MEDICAL ASSISTANCE
  • MN Other: 060108001 METROPOLITAN HEALTH PLAN
  • MN Other: 1983 UCARE MINNESOTA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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