Active NPI
Rainbow Health Minnesota
- Case Management Agency
- Saint Paul, MN
National Provider Identifier
1558521765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.