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Contact Information

JUEL FAIRBANKS CHEMICAL DEPENDENCY SERVICES
804 ALBERT ST N
SAINT PAUL, MN55104
 Phone: 651-282-0460
 Fax: 651-644-1126
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

261QR0401X B4[14] Comprehensive Outpatient Rehabilitation Facility
Indicates primary specialty

NPI Profile & details for JUEL FAIRBANKS CHEMICAL DEPENDENCY SERVICES

NPI # 1982922324
LBN Legal business name JUEL FAIRBANKS CHEMICAL DEPENDENCY SERVICES
Authorized official JANICE LINDSTROM - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2010
Last updated 05/10/2010 - About 16 years ago
Identifiers
MN License # 803854-3-CDT
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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