Itasca Corporation

Primary specialty

InterpreterTaxonomy code 171R00000X

Legal business name

ITASCA CORPORATION

Practice address

1545 Livingston Ave
Suite 103
W St Paul, MN 55118-3414

Phone

(651) 457-7400

Fax

(651) 457-7700

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Ellen Marie Byom, RN

Title

President

Phone

(651) 457-7400

Specialties & licenses 1

Addresses

Other names 1

• Itasca Interpretation Services Doing business as

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1508036815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 LIVINGSTON AVE",
            "address_2": "SUITE 103",
            "city": "W ST PAUL",
            "state": "MN",
            "postal_code": "551183414",
            "telephone_number": "651-457-7400",
            "fax_number": "651-457-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 LIVINGSTON AVE",
            "address_2": "SUITE 103",
            "city": "W ST PAUL",
            "state": "MN",
            "postal_code": "551183414",
            "telephone_number": "651-457-7400",
            "fax_number": "651-457-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITASCA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "BYOM",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-457-7400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Interpreter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Itasca Interpretation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Interpreter in W St Paul, MN
• Providers in W St Paul, MN by specialty
• Interpreter in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.