Phoenix Healing Center Llc

LBN: Phoenix Healing Center Llc
Phoenix Healing Center Llc is an health care organization with primary practice located at 1812 2Nd St Sw Suite F, Rochester MN 55902-4127. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Phoenix Healing Center Llc can be contacted via phone (507) 322-0222, or through Flugel Colle, Kathleen Francette via phone (507) 421-2737.

Contact Information

Primary practice address
1812 2Nd St Sw Suite F Rochester MN 55902-4127
Phone: (507) 322-0222
Fax: (507) 322-0223
Website:
Map and Directions
Authorized official contact:
Name: Flugel Colle, Kathleen Francette
Phone: (507) 421-2737

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X R 121129-6 Minnesota

Profile Details

NPI number 1972059806
LBN Legal business name Phoenix Healing Center Llc
DBA Doing business as
Authorized official Flugel Colle, Kathleen Francette
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2016
Last updated Aug 31st, 2016 - about 10 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 1972059806 NPPES
Minnesota Other 890000607 MEDICARE PTAN

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