Phoenix

LBN: Phoenix
Phoenix is an health care organization with primary practice located at 6697 Elm St , North Branch MN 55056-7045. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Phoenix can be contacted via phone (651) 795-8759, or through Kortus, Jeremy James via phone (651) 795-8759.

Contact Information

Primary practice address
6697 Elm St North Branch MN 55056-7045
Phone: (651) 795-8759
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kortus, Jeremy James
Phone: (651) 795-8759

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1972118438
LBN Legal business name Phoenix
DBA Doing business as
Authorized official Kortus, Jeremy James
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2020
Last updated Sep 11th, 2020 - about 4 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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