NPIMap

Organization Active NPI

American Indian Family Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1639798101
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
AMERICAN INDIAN FAMILY CENTER
Practice address
579 Wells St
Saint Paul, MN 55130-4134
Phone
(651) 793-3803
NPI assigned
Apr 14, 2020
Last updated
Apr 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN INDIAN FAMILY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Rich R Latterner
Title
Khunsi Onikan Treatment Director
Phone
(651) 793-3803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

579 Wells St
Saint Paul, MN 55130-4134

Mailing address

579 Wells St
Saint Paul, MN 55130-4134
Phone (651) 793-3803

Other names 1

  • Khunsi Onikan Other name

National Provider Directory

National Provider Directory
Tax ID family
American Indian Family Center2 organizations share this tax ID, including this one
Part of
American Indian Family Center

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1639798101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 WELLS ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304134",
            "telephone_number": "651-793-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 WELLS ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304134",
            "telephone_number": "651-793-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN INDIAN FAMILY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN INDIAN FAMILY CENTER",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "LATTERNER",
        "authorized_official_first_name": "RICH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "KHUNSI ONIKAN TREATMENT DIRECTOR",
        "authorized_official_telephone_number": "651-793-3803"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Khunsi Onikan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 14, 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.