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YOUR PATH LLC NPI 1093451361


NPI Information

NPI: 1093451361
Provider Name: YOUR PATH, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
700 RAYMOND AVE STE 130
SAINT PAUL, MN
ZIP 55114
Phone: (612) 895-1511
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YOUR PATH, LLC is a clinic center in Saint Paul, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). YOUR PATH, LLC NPI is 1093451361. The provider is registered as an organization entity type.

The provider's business location address is:

700 RAYMOND AVE STE 130
SAINT PAUL, MN
ZIP 55114-778
Phone: (612) 895-1511

The provider's authorized official is Jordan Hansen .
The authorized official title is Owner and has the following contact phone number (612) 895-1511.

The enumeration date for this NPI number is 5/10/2022 and was last updated on 5/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.