Freeport West, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

7602123 Issued in MN

Legal business name

FREEPORT WEST, INC.

Practice address

2219 Oakland Ave
Minneapolis, MN 55404-3749

Phone

(612) 252-2701

Fax

(612) 824-0379

NPI assigned

Jan 26, 2008

Organization subpart

No

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

Authorized official

Name

Ramona Wilson

Title

Executive Director

Phone

(612) 252-2701

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard M Mielke, LAMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
  • NPI 1891948725
  NPD (past)

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201305600000",
    "number": "1245417815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 OAKLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043749",
            "telephone_number": "612-252-2701",
            "fax_number": "612-824-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 OAKLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043749",
            "telephone_number": "612-252-2701",
            "fax_number": "612-824-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT WEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-26",
        "last_updated": "2008-01-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-252-2701"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": "7602123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freedomworks
• Gary Wayne Freeman, MD
• Jessica Elizabeth Freeman, CPNP-PC MSN,BSN,RN
• Kyle Andrew Freeman, RN
• Martin L Freeman, MD
• Michelle Marie Frees, MD
• Laura Jane Freese, SLP
• John Humbird Freesmeier, DO
• Madison Freiberg
• Keegan Freiburger, LICSW

• Case Management Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.