Organization Active NPI

Mission Health Integrative Medical Clinic

  • Clinic/Center
  • Edina, MN
National Provider Identifier
1154685014
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MISSION HEALTH INTEGRATIVE MEDICAL CLINIC
Practice address
7200 France Ave S
Suite 233
Edina, MN 55435-4300
Phone
(952) 224-0127
Fax
(952) 224-0128
NPI assigned
Jun 26, 2012
Last updated
Sep 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Michele Marie Brezinski, M.D.NPI 1154529139
Title
Sole Owner
Phone
(952) 224-0127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

7200 France Ave S
Suite 233
Edina, MN 55435-4300

Mailing address

7200 France Ave S
Suite 233
Edina, MN 55435-4300
Phone (952) 224-0127

National Provider Directory

National Provider Directory

Locations

7200 France Ave S
Ste 233
Edina, MN 55435
Phone (952) 224-0126

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1154685014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 FRANCE AVE S",
            "address_2": "SUITE 233",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354300",
            "telephone_number": "952-224-0127",
            "fax_number": "952-224-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 FRANCE AVE S",
            "address_2": "SUITE 233",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354300",
            "telephone_number": "952-224-0127",
            "fax_number": "952-224-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HEALTH INTEGRATIVE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "BREZINSKI",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "952-224-0127",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.