The Bridge for Youth

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

802480-4-CRF Issued in MN

Legal business name

THE BRIDGE FOR YOUTH

Practice address

1111 W 22ND St
Minneapolis, MN 55405-2705

Phone

(612) 377-8800

Fax

(612) 377-6426

NPI assigned

Mar 19, 2009

Organization subpart

No

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

Authorized official

Name

Todd Jeffers

Title

Finance/Operations Director

Phone

(612) 230-6692

Specialties & licenses 1

Addresses

Other names 1

• The Bridge For Runaway Youth, Inc Former legal business name

Locations

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1649411745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W 22ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052705",
            "telephone_number": "612-377-8800",
            "fax_number": "612-377-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 22ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052705",
            "telephone_number": "612-377-8800",
            "fax_number": "612-377-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE FOR YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "FINANCE/OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "612-230-6692"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "802480-4-CRF",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bridge For Runaway Youth, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.