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Contact Information

HCMC PSYCHIATRY CRISIS RESIDENTIAL
LBN HENNEPIN HEALTHCARE SYSTEMS, INC.
3633 CHICAGO AVE, SOUTH
MINNEAPOLIS, MN55407
 Phone: 612-352-5600
 Fax: 612-352-5609
 Website: https://www.hennepinhealthcare.org/specialty/psychiatry/crisis-residence/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Based Residential Treatment Facility, Mental Illness

320800000X
Indicates primary specialty

NPI Profile & details for HCMC PSYCHIATRY CRISIS RESIDENTIAL

NPI # 1841742699
LBN Legal business name HENNEPIN HEALTHCARE SYSTEMS, INC.
DBA Doing business as HCMC PSYCHIATRY CRISIS RESIDENTIAL
Authorized official DERRICK HOLLINGS - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2016
Last updated 10/27/2016 - About 10 years ago
Identifiers
MN Other 1407897309 HENNEPIN COUNTY MEDICAL CENTER'S NPI
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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