NPIMap

Organization Active NPI

Avalon Programs, LLC

Doing business as Avalon - Aitkin

  • Addiction (Substance Use Disorder) Counselor
  • Aitkin, MN
National Provider Identifier
1144354531
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1034492 Issued in MN
Legal business name
AVALON PROGRAMS, LLC
Doing business as
Avalon - Aitkin
Practice address
3 3Rd Street NE
Aitkin, MN 56431
Phone
(218) 927-6417
Fax
(218) 927-6723
NPI assigned
Mar 15, 2007
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Paul Lindeman
Title
Director - Revenue Cycle MGMT
Phone
(612) 326-7566

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1034492 MN Primary
Substance Abuse Rehabilitation Facility 324500000X 1034492-2-CDT MN

Addresses

Primary practice location

3 3Rd Street NE
Aitkin, MN 56431

Mailing address

550 Main St
Ste 230
New Brighton, MN 55112-3271
Phone (612) 326-7600

Other names 1

  • Avalon - Aitkin Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Avalon Programs LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

3 3rd St NE
Aitkin, MN 56431
Phone (218) 927-2541

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1144354531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MAIN ST",
            "address_2": "STE 230",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551123271",
            "telephone_number": "612-326-7600",
            "fax_number": "651-631-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 3RD STREET NE",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "56431",
            "telephone_number": "218-927-6417",
            "fax_number": "218-927-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON PROGRAMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "LINDEMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR - REVENUE CYCLE MGMT",
        "authorized_official_telephone_number": "612-326-7566"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "1034492",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1034492-2-CDT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon - Aitkin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aitkin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.