Mains'L Fiscal Support Entity

LBN: Mains'L Fiscal Support Entity
Mains'L Fiscal Support Entity is an health care organization with primary practice located at 7000 78Th Ave N , Brooklyn Park MN 55445-2744. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Mains'L Fiscal Support Entity can be contacted via phone (763) 494-4553, or through Williams, Teresa C. via phone (763) 494-4553.

Contact Information

Primary practice address
7000 78Th Ave N Brooklyn Park MN 55445-2744
Phone: (763) 494-4553
Fax: (763) 416-9198
Website:
Map and Directions
Authorized official contact:
Name: Williams, Teresa C.
Phone: (763) 494-4553

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1275808206
LBN Legal business name Mains'L Fiscal Support Entity
DBA Doing business as
Authorized official Williams, Teresa C.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2012
Last updated Mar 8th, 2012 - about 12 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 1275808206 NPPES
Minnesota MEDICAID A976414300

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