Organization Active NPI

Summit Integrated Services LLC

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Columbia Heights, MN
National Provider Identifier
1174203335
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
SUMMIT INTEGRATED SERVICES LLC
Practice address
501 40TH Ave NE
Columbia Heights, MN 55421-3834
Phone
(612) 600-4575
Fax
(612) 486-8607
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Asad Hassan
Title
Manager
Phone
(952) 737-2130

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Hospital Unit 276400000X Primary

Addresses

Primary practice location

501 40TH Ave NE
Columbia Heights, MN 55421-3834

Mailing address

501 40TH Ave NE
Columbia Heights, MN 55421-3834
Phone (612) 600-4575

National Provider Directory

National Provider Directory

Locations

501 40th Ave NE
Columbia Heights, MN 55421

7101 York Ave S
#357
Edina, MN 55435

4205 Lancaster Ln N
Ste 100
Plymouth, MN 55441
Phone (612) 600-4575

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1174203335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 40TH AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213834",
            "telephone_number": "612-600-4575",
            "fax_number": "612-486-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 40TH AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213834",
            "telephone_number": "612-600-4575",
            "fax_number": "612-486-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT INTEGRATED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ASAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "952-737-2130"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.