Strong Tower Health Family Clinic

LBN: Strong Tower Health Family Clinic
Strong Tower Health Family Clinic is an health care organization with primary practice located at 1686 Suburban Ave , St Paul MN 55106-5510. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Strong Tower Health Family Clinic can be contacted via phone (612) 701-4301, or through Whitley, Latonya J via phone (612) 701-4301.

Contact Information

Primary practice address
1686 Suburban Ave St Paul MN 55106-5510
Fax: (651) 330-1802
Website:
Authorized official contact:
Name: Whitley, Latonya J DNP

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1104480169
LBN Legal business name Strong Tower Health Family Clinic
DBA Doing business as
Authorized official Whitley, Latonya J DNP
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 25th, 2019
Last updated Apr 25th, 2019 - about 5 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 1104480169 NPPES
Minnesota Other 6186078 MN TAX IDENTIFICATION

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