ST PAUL COMO COMMUNITY UNIT NPI 1740462969

NPI Information

NPI: 1740462969
Provider Name: ST PAUL COMO COMMUNITY UNIT
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
690 COMO AVE
SAINT PAUL, MN
ZIP 55103
Phone: (651) 558-2227
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ST PAUL COMO COMMUNITY UNIT is a community based residential treatment facility mental illness in Saint Paul, MN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. ST PAUL COMO COMMUNITY UNIT NPI is 1740462969. The provider is registered as an organization entity type.

The provider's business location address is:

690 COMO AVE
SAINT PAUL, MN
ZIP 55103-436
Phone: (651) 558-2227

The provider's authorized official is Victoria O Alabi .
The authorized official title is Human Services Manager and has the following contact phone number (651) 478-8002.

The enumeration date for this NPI number is 11/29/2007 and was last updated on 9/4/2019.

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
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	756188100	MEDICAID	MINNESOTA

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

NPI Synchronization or Removal

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