Organization Active NPI

Center for Victims of Torture

  • Case Management Agency
  • Saint Paul, MN
National Provider Identifier
1497060677
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CENTER FOR VICTIMS OF TORTURE
Practice address
649 Dayton Ave
Saint Paul, MN 55104-6631
Phone
(612) 436-4800
Fax
(612) 436-2604
NPI assigned
Aug 12, 2010
Last updated
Jul 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Ka Thao
Title
Medical Billing Coordinator
Phone
(612) 436-4860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

649 Dayton Ave
Saint Paul, MN 55104-6631

Mailing address

649 Dayton Ave
Saint Paul, MN 55104-6631
Phone (612) 436-4800

Other identifiers 4

IdentifierTypeStateIssuer
22572OtherMNHEALTHPARTNERS
318LOCEOtherMNMN BCBS
120700OtherMNUCARE
243513600MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Center for Victims of Torture Clinic Partnership7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1497060677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 DAYTON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046631",
            "telephone_number": "612-436-4800",
            "fax_number": "612-436-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 DAYTON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046631",
            "telephone_number": "612-436-4800",
            "fax_number": "612-436-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VICTIMS OF TORTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "THAO",
        "authorized_official_first_name": "KA",
        "authorized_official_title_or_position": "MEDICAL BILLING COORDINATOR",
        "authorized_official_telephone_number": "612-436-4860"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "22572",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS",
            "identifier": "318LOCE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "120700",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243513600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 24, 2019; 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.