Spectrum Community Mental Health

LBN: Avivo
Spectrum Community Mental Health is an health care organization with primary practice located at 1825 Chicago Ave , Minneapolis MN 55404-1939. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Avivo can be contacted via phone (612) 752-8200, or through Matter, Kelly via phone (612) 752-8204.

Contact Information

Primary practice address
1825 Chicago Ave Minneapolis MN 55404-1939
Phone: (612) 752-8200
Fax: (612) 752-8201
Website:
Map and Directions
Authorized official contact:
Name: Matter, Kelly
Phone: (612) 752-8204

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1548315880
LBN Legal business name Avivo
DBA Doing business as Spectrum Community Mental Health
Authorized official Matter, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Dec 11th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548315880 NPPES
Minnesota MEDICAID 135355100

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