Chatters Lumber Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

1069129-1-HCBS Issued in MN

Legal business name

CHATTERS LUMBER INC

Practice address

4715 17TH Ave S
Minneapolis, MN 55407-3613

Phone

(612) 978-8191

NPI assigned

Jan 14, 2014

Organization subpart

No

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

Authorized official

Name

George Eugene Chatters

Title

Ceo

Phone

(612) 978-8191

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Inner Science Health Doing business as

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1487076238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 17TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 17TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073613",
            "telephone_number": "612-978-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTERS LUMBER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "CHATTERS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-978-8191"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MN",
            "license": "1069129-1-HCBS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN DHS LICENSE FACILITY ID",
            "identifier": "1069129",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Science Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elinor Florence Chase-Andresen
• Adam C. Chase, LICSW
• Lisa Maureen Chase, LICSW
• Kallie Chasengnou
• Lavonne Chatham-Wooley
• Suzanne Chatters, APRN, CNM
• John Charles Chatterton, MD
• Georgios Chatzopoulos, DDS
• Chen Thay Chau, M.D.
• Hai Thanh Chau, D.C.

• All providers in Minneapolis, MN
• Point of Service in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.