Organization Active NPI

Synergy Health, LLC

  • Health Service Clinic/Center
  • Edina, MN
National Provider Identifier
1184951386
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1297 Issued in MN
Legal business name
SYNERGY HEALTH, LLC
Practice address
4820 West 77TH Street
Suite 145
Edina, MN 55435-4822
Phone
(952) 920-9830
NPI assigned
Nov 9, 2009
Last updated
Oct 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Ruth Eaton, RN, LAC
Title
Owner
Phone
(952) 920-9830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 1297 MN Primary

Addresses

Primary practice location

4820 West 77TH Street
Suite 145
Edina, MN 55435-4822

Mailing address

4820 West 77TH Street
Suite 145
Edina, MN 55435-4822
Phone (952) 920-9830

National Provider Directory

National Provider Directory

Locations

4820 77th St W
Ste 145
Edina, MN 55435
Phone (952) 920-9830

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": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1184951386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 WEST 77TH STREET",
            "address_2": "SUITE 145",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354822",
            "telephone_number": "952-920-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 WEST 77TH STREET",
            "address_2": "SUITE 145",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354822",
            "telephone_number": "952-920-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-920-9830",
        "authorized_official_credential": "RN, LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "1297",
            "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 Oct 22, 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.