Fulcrum Health, Inc.
Organization Active NPI Exclusive Provider Organization · Plymouth, MN
NPI 1316639776 · NPPES record last updated May 24, 2023
Key facts
- NPI
- 1316639776
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Exclusive Provider Organization 302F00000X
- Legal business name
- FULCRUM HEALTH, INC.
- Practice address
- 3300 Fernbook Lane North
Suite 150
Plymouth, MN 55447-5350 - Phone
- (763) 204-8570
- Fax
- (763) 204-8544
- NPI assigned
- May 24, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- FULCRUM HEALTH, INC.
Authorized official
- Name
- Patricia Dennis
- Title
- Chief Executive Officer
- Phone
- (763) 204-8541
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Fulcrum Health Inc
- Part of
- Fulcrum Health Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Yes |
Addresses
Primary practice location
3300 Fernbook Lane North
Suite 150
Plymouth, MN 55447-5350
Mailing address
3300 Fernbook Lane North
Suite 150
Plymouth, MN 55447-5350
Phone (763) 204-8570
Other names
- Fulcrum Health South Dakota Subpart
Other providers in Plymouth, MN
- Jarred Frisk
- Daniel Peter Fristoe
- Janelle Fuchs
- Fulcrum Health, Inc.
- Fulcrum Health, Inc.
- Fulcrum Health, Inc.
- Donna R Funderburk
- Erin Fuscher
- Erica Fyten
- Sarah Strlekar Gagliardi
All providers in Plymouth, MN · Exclusive Provider Organization in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.