Midwest Trauma Center

LBN: The Midwest Trauma Center And Family Resources
Midwest Trauma Center is an health care organization with primary practice located at 7400 Metro Blvd Ste 413 , Edina MN 55439-2326. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. The Midwest Trauma Center And Family Resources can be contacted via phone (218) 310-2864, or through Carter, Loralee Ann via phone (218) 310-2864.

Contact Information

Primary practice address
7400 Metro Blvd Ste 413 Edina MN 55439-2326
Fax:
Website:
Authorized official contact:
Name: Carter, Loralee Ann LICSW

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15212 Minnesota

Profile Details

NPI number 1356530224
LBN Legal business name The Midwest Trauma Center And Family Resources
DBA Doing business as Midwest Trauma Center
Authorized official Carter, Loralee Ann LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2007
Last updated May 6th, 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 1356530224 NPPES
Minnesota Other 77B26CA BLUE CROSS BLUE SHIELD
Minnesota Other 62-64099 BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 858247500 BLUE CROSS BLUE SHIELD

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