Active NPI
Midwest Stabilization Services Inc
- Supports Brokerage Agency
- Saint Paul, MN
National Provider Identifier
1114755386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Supports Brokerage Agency
- Legal business name
- MIDWEST STABILIZATION SERVICES INC
- Practice address
- 1845 University Ave W Unit W415
Saint Paul, MN 55104-4563 - Phone
- (651) 417-3001
- NPI assigned
- Jul 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdinur Mohamud
- Title
- Authorized Agent
- Phone
- (651) 417-3001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Supports Brokerage Agency | 251X00000X | Primary |
Addresses
Primary practice location
1845 University Ave W Unit W415
Saint Paul, MN 55104-4563
Mailing address
1845 University Ave W Unit W415
Saint Paul, MN 55104-4563
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721606400000",
"number": "1114755386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 UNIVERSITY AVE W UNIT W415",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551044563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 UNIVERSITY AVE W UNIT W415",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551044563",
"telephone_number": "651-417-3001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST STABILIZATION SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A",
"authorized_official_last_name": "MOHAMUD",
"authorized_official_first_name": "ABDINUR",
"authorized_official_title_or_position": "AUTHORIZED AGENT",
"authorized_official_telephone_number": "651-417-3001"
},
"taxonomies": [
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
- Midwest Consulting LLC
- Midwest Innovative Neurodiagnostics LLP
- Midwest Medical Holdings LLC
- Midwest Medical Holdings LLC
- Midwest Radiology Outpatient Imaging, LLC
- Deborah Kim Mielke, M.D.
- Matthew Lester Mielke, M.D.
- Mietus NP Mental Health, LLC
- Stacey Thompson Mietus, APRN, CNP
- Travis Nelson Mighell, APRN, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.