NPIMap

Organization Active NPI

Center for Victims of Torture Bethesda -TCM

  • Case Management Agency
  • Saint Paul, MN
National Provider Identifier
1619379344
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CENTER FOR VICTIMS OF TORTURE BETHESDA -TCM
Practice address
580 Rice St
Saint Paul, MN 55103-2148
Phone
(651) 227-6551
NPI assigned
Sep 25, 2014
Last updated
Sep 25, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTER FOR VICTIMS OF TORTUREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Ms. Gena Holland
Title
Cfo
Phone
(612) 436-4869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

580 Rice St
Saint Paul, MN 55103-2148

Mailing address

2356 University Ave W
Saint Paul, MN 55114-1853
Phone (612) 436-4860

Other identifiers 1

IdentifierTypeStateIssuer
120700OtherMNUCARE

National Provider Directory

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

Other organizations with this tax ID 6

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

Locations

580 Rice St
Saint Paul, MN 55103
Phone (651) 227-6551

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1619379344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141853",
            "telephone_number": "612-436-4860",
            "fax_number": "612-436-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 RICE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032148",
            "telephone_number": "651-227-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VICTIMS OF TORTURE BETHESDA -TCM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR VICTIMS OF TORTURE",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "GENA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "612-436-4869",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "120700",
            "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 Sep 25, 2014; 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.