Twin City Chemical Health Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1053675-1-CDT Issued in MN

Legal business name

TWIN CITY CHEMICAL HEALTH SERVICES, LLC

Practice address

858 Terrace CT Ste B
Saint Paul, MN 55130-4276

Phone

(651) 495-9494

Fax

(952) 997-6569

NPI assigned

Feb 4, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Henry W. Conner Jr.

Title

Director

Phone

(651) 495-9494

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1124350996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 TERRACE CT STE B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304276",
            "telephone_number": "651-495-9494",
            "fax_number": "952-997-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 TERRACE CT STE B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304276",
            "telephone_number": "651-495-9494",
            "fax_number": "952-997-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITY CHEMICAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-495-9494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1053675-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.