FAMILYWISE SERVICES; NPI #1275634230

Contact Information

FAMILYWISE SERVICES

3036 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3316

Phone: 612-617-0191
Fax: 612-617-0193
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for FAMILYWISE SERVICES

NPI # 1275634230

LBN Legal business name FAMILYWISE SERVICES

Authorized official ANN GAASCH - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/25/2006

Last updated 07/22/2022 - About 4 years ago

Identifiers

MN	Medicaid	198428400
MN	Other	835556800	MEDICAL ASSISTANCE
MN	Other	060108001	METROPOLITAN HEALTH PLAN
MN	Other	1983	UCARE MINNESOTA

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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FAMILYWISE SERVICES

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for FAMILYWISE SERVICES

Reviews for FAMILYWISE SERVICES