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Contact Information

MINNESOTA STATE COLLEGES AND UNIVERSITIES
850 FIRST AVENUE SOUTH
SAINT CLOUD, MN56301-4442
 Phone: 320-308-3191
 Fax: 320-308-3192
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Student Health

261QS1000X
 

Adult Mental Health

261QM0850X
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for MINNESOTA STATE COLLEGES AND UNIVERSITIES

NPI # 1013993401
LBN Legal business name MINNESOTA STATE COLLEGES AND UNIVERSITIES
Authorized official KIMBERLY OHMANN - (ASSCOATE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/19/2005
Last updated 05/13/2024 - About 2 years ago
Identifiers
MN Medicaid 1013993401
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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