NPIMap

Organization Active NPI

Rainbow Health Minnesota

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1184967002
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RAINBOW HEALTH MINNESOTA
Doing business as
Rainbow Health Minnesota
Practice address
1000 University Ave W Ste 100
Saint Paul, MN 55104
Phone
(612) 341-2060
NPI assigned
Mar 28, 2013
Last updated
May 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Brenda Susan Clark
Title
Cfo
Phone
(612) 373-2407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1000 University Ave W Ste 100
Saint Paul, MN 55104

Mailing address

2577 Territorial Rd
Saint Paul, MN 55114-1500
Phone (612) 373-2400

Other practice location 1

2577 Territorial Rd
Saint Paul, MN 55114-1500
Phone (612) 341-2060

Other names 1

  • Rainbow Health Minnesota Doing business as

National Provider Directory

National Provider Directory

Locations

1000 University Ave W
Ste 100
Saint Paul, MN 55104
Phone (612) 341-2060

Practitioners & affiliated clinicians

Practitioners 4

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": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1184967002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 TERRITORIAL RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141500",
            "telephone_number": "612-373-2400",
            "fax_number": "612-341-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 UNIVERSITY AVE W STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "612-341-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2577 Territorial Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141500",
            "country_code": "US",
            "telephone_number": "612-341-2060",
            "fax_number": "612-341-4057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAINBOW HEALTH MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2021-05-03",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "612-373-2407"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Health Minnesota",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rainbow Health Minnesota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.