Organization Active NPI

Fulcrum Health, Inc.

  • Case Management Agency
  • Plymouth, MN
National Provider Identifier
1073664595
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
FULCRUM HEALTH, INC.
Practice address
3300 Fernbrook Lane North
Suite 150
Plymouth, MN 55447-5350
Phone
(763) 204-8541
Fax
(763) 204-8544
NPI assigned
Jan 12, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Patricia Dennis
Title
Ceo
Phone
(763) 204-8541

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Fulcrum Health Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

7565 Office Ridge Cir
Eden Prairie, MN 55344
Phone (952) 943-1188

6300 Highway 55
#10W120
Golden Valley, MN 55427
Phone (763) 595-3200

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3300 Fernbrook Lane North
Suite 150
Plymouth, MN 55447-5350

Mailing address

3300 Fernbrook Lane North
Suite 150
Plymouth, MN 55447-5350
Phone (763) 204-8541

Other names 1

NPPES NPI Registry
  • Chiropractic Care of Minnesota, Inc. Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2023.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1073664595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 FERNBROOK LANE NORTH",
            "address_2": "SUITE 150",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475350",
            "telephone_number": "763-204-8541",
            "fax_number": "763-204-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 FERNBROOK LANE NORTH",
            "address_2": "SUITE 150",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475350",
            "telephone_number": "763-204-8541",
            "fax_number": "763-204-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULCRUM HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-204-8541"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Care of Minnesota, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.