NPIMap

Organization Active NPI

Amherst H. Wilder Foundation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Saint Paul, MN
National Provider Identifier
1497821409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
AMHERST H. WILDER FOUNDATION
Practice address
919 Lafond Ave
Saint Paul, MN 55104-2108
Phone
(651) 642-4000
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Craig Binger
Title
Vice President Administration
Phone
(651) 642-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

919 Lafond Ave
Saint Paul, MN 55104-2108

Mailing address

919 Lafond Ave
Saint Paul, MN 55104-2108

Other names 1

  • Childrens Residential and Child Care Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Senior Health Clinic22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497821409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 LAFOND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 LAFOND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042108",
            "telephone_number": "651-642-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMHERST H. WILDER FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BINGER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "VICE PRESIDENT ADMINISTRATION",
        "authorized_official_telephone_number": "651-642-4000"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Residential and Child Care Services",
            "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 Aug 22, 2020; 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.