River City Clinic

LBN: River City Mental Health Clinic, P.A.
River City Clinic is an health care organization with primary practice located at 1360 Energy Park Dr Suite 340, Saint Paul MN 55108-5276. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. River City Mental Health Clinic, P.A. can be contacted via phone (651) 646-8985, or through Hansen, Mark P via phone (651) 312-4569.

Contact Information

Primary practice address
1360 Energy Park Dr Suite 340 Saint Paul MN 55108-5276
Phone: (651) 646-8985
Fax: (651) 646-3959
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Mark P PHD
Phone: (651) 312-4569

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1558348078
LBN Legal business name River City Mental Health Clinic, P.A.
DBA Doing business as River City Clinic
Authorized official Hansen, Mark P PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2005
Last updated Oct 8th, 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 1558348078 NPPES
Minnesota Other 85234 HEALTH PARTNERS
Minnesota Other 41G99RI HEALTH PARTNERS
Minnesota Other 42G12RI HEALTH PARTNERS
Minnesota Other 98534 HEALTH PARTNERS
Minnesota MEDICAID 155441700 HEALTH PARTNERS
Minnesota Other 42G08RI HEALTH PARTNERS

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