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 / Case Management, 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
Fax: (612) 752-8201
Website:
Authorized official contact:
Name: Matter, Kelly

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1982875571
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 Mar 21st, 2008
Last updated Dec 11th, 2023 - about last year

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 1982875571 NPPES
Minnesota MEDICAID 135355104

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