Organization Active NPI

Rainbow Health Minnesota

  • Case Management Agency
  • Saint Paul, MN
National Provider Identifier
1558521765
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RAINBOW HEALTH MINNESOTA
Practice address
2577 Territorial Rd
Saint Paul, MN 55114-1500
Phone
(612) 341-2060
NPI assigned
Jun 11, 2008
Last updated
May 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Ms. Brenda Susan Clark
Title
Cfo
Phone
(612) 373-2407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2577 Territorial Rd
Saint Paul, MN 55114-1500

Mailing address

2577 Territorial Rd
Saint Paul, MN 55114-1500
Phone (612) 341-2060

National Provider Directory

National Provider Directory

Locations

2577 Territorial Rd
Saint Paul, MN 55114
Phone (612) 341-2060

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1558521765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 TERRITORIAL RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141500",
            "telephone_number": "612-341-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 TERRITORIAL RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141500",
            "telephone_number": "612-341-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW HEALTH MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "612-373-2407",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 3, 2021; 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.