Minnesota Indian Women's Resource Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

8015573CDT Issued in MN

Legal business name

MINNESOTA INDIAN WOMEN'S RESOURCE CENTER

Practice address

2300 15TH Ave S
Minneapolis, MN 55404-3960

Phone

(612) 724-2124

Fax

(612) 728-2039

NPI assigned

May 15, 2015

Last updated

May 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joni Buffalohead, PH.D.

Title

Director of Operations

Phone

(612) 724-2124

Specialties & licenses 1

Addresses

Tax ID family

Minnesota Indian Women's Resource Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Minnesota Indian Women's Resource Center

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1992887863
  NPD tax ID

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1033597513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 15TH AVENUE SOUTH",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404",
            "telephone_number": "612-724-2124",
            "fax_number": "612-728-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 15TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043960",
            "telephone_number": "612-724-2124",
            "fax_number": "612-728-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA INDIAN WOMEN'S RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "BUFFALOHEAD",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "612-724-2124",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "8015573CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnesota Home Living Services LLC
• Minnesota Hope Center L.L.C.
• Minnesota Hope Dealerz Service Corporation (Minnesota Hope Dealerz Organization)
• Minnesota Hope Insititute
• Minnesota Indian Women's Housing Limited Partnership
• Minnesota Indian Women's Resource Center
• Minnesota Indian Women's Resource Center
• Minnesota Integrative Health Studio
• Minnesota International Middle School
• Minnesota Internship Center

• Substance Abuse Rehabilitation Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.