Modern Mojo

LBN: Modern Mojo
Modern Mojo is an health care organization with primary practice located at 28 Nw 4Th St Suite A, Grand Rapids MN 55744-2714. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Modern Mojo can be contacted via phone (218) 999-7750, or through Zimmerman, Tonya Marie via phone (218) 999-7750.

Contact Information

Primary practice address
28 Nw 4Th St Suite A Grand Rapids MN 55744-2714
Phone: (218) 999-7750
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zimmerman, Tonya Marie
Phone: (218) 999-7750

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1902344591
LBN Legal business name Modern Mojo
DBA Doing business as
Authorized official Zimmerman, Tonya Marie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2017
Last updated Mar 8th, 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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