Mary T Associates Inc

LBN: Mary T Associates Inc
Mary T Associates Inc is an health care organization with primary practice located at 1555 118Th Ln Nw , Coon Rapids MN 55448-7579. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded. Agencies / Home Health is the primary health care specialty. Mary T Associates Inc can be contacted via phone (763) 862-5436, or through Winbauer, Connie via phone (763) 862-5436.

Contact Information

Primary practice address
1555 118Th Ln Nw Coon Rapids MN 55448-7579
Phone: (763) 862-5436
Fax: (763) 754-0332
Website:
Map and Directions
Authorized official contact:
Name: Winbauer, Connie
Phone: (763) 862-5436

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 331577 Minnesota
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 801456 Minnesota
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 801457 Minnesota
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 801459 Minnesota
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 801458 Minnesota

Profile Details

NPI number 1770643694
LBN Legal business name Mary T Associates Inc
DBA Doing business as
Authorized official Winbauer, Connie
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 11th, 2006
Last updated Feb 12th, 2008 - about 16 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 1770643694 NPPES
Minnesota MEDICAID 972525300
Minnesota Other 131415
Minnesota MEDICAID 472845900
Minnesota MEDICAID 612745200
Minnesota Other 102207
Minnesota Other 136968
Minnesota Other 9394AB
Minnesota Other 104337
Minnesota MEDICAID 672745000
Minnesota MEDICAID 642845200

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