Tubman Family Alliance & Chrysalis A Center For Women Inc
LBN: Tubman
Tubman Family Alliance & Chrysalis A Center For Women Inc is an health care organization with primary practice located at 4432 Chicago Avenue South , Minneapolis MN 55407. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Tubman can be contacted via phone (612) 870-2444, or through Dusso, Beverly via phone (612) 767-6690.
Contact Information
Primary practice address
4432 Chicago Avenue South
Minneapolis MN 55407
Phone: (612) 870-2444
Fax: (612) 870-2428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 8004872MHC | Minnesota |
Profile Details
| NPI number | 1376655159 |
|---|---|
| LBN Legal business name | Tubman |
| DBA Doing business as | Tubman Family Alliance & Chrysalis A Center For Women Inc |
| Authorized official | Dusso, Beverly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Nov 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376655159 | NPPES |
| Minnesota | MEDICAID | 257080700 |
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