NPIMap

Organization Active NPI

Specialized Treatment Services

  • Case Management Agency
  • Minneapolis, MN
National Provider Identifier
1003243023
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
303469 Issued in MN
Legal business name
SPECIALIZED TREATMENT SERVICES
Practice address
1132 Central Ave NE
Minneapolis, MN 55413-1512
Phone
(612) 902-5906
Fax
(612) 236-1701
NPI assigned
Oct 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Denise Wagner
Title
Program Manager
Phone
(612) 236-1705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 303469 MN Primary

Addresses

Primary practice location

1132 Central Ave NE
Minneapolis, MN 55413-1512

Mailing address

1132 Central Ave NE
Minneapolis, MN 55413-1512
Phone (612) 902-5906

National Provider Directory

National Provider Directory
Tax ID family
Specialized Treatment Services Inc - Brooklyn Park8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1003243023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 CENTRAL AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131512",
            "telephone_number": "612-902-5906",
            "fax_number": "612-236-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 CENTRAL AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131512",
            "telephone_number": "612-902-5906",
            "fax_number": "612-236-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "612-236-1705",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": "303469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.