Active NPI
Crescenterra Health Center, PA
- Clinic/Center
- Saint Paul, MN
National Provider Identifier
1659509180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 1853
- Legal business name
- CRESCENTERRA HEALTH CENTER, PA
- Practice address
- 245 Prior Ave N
Saint Paul, MN 55104-5163 - Phone
- (651) 917-3990
- Fax
- (651) 917-3922
- NPI assigned
- Jun 23, 2009
- Last updated
- Jun 23, 2009
- 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
- Mary E Rutherford, DC
- Title
- President
- Phone
- (651) 917-3990
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 1853 | MN | Primary |
Addresses
Primary practice location
245 Prior Ave N
Saint Paul, MN 55104-5163
Mailing address
245 Prior Ave N
Saint Paul, MN 55104-5163
Phone (651) 917-3990
National Provider Directory
National Provider DirectoryLocations
245 Prior Ave N
Saint Paul, MN 55104
Phone (612) 598-1305
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Saint Paul, MN
- NPI 1043598436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245715200000",
"number": "1659509180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 PRIOR AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551045163",
"telephone_number": "651-917-3990",
"fax_number": "651-917-3922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 PRIOR AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551045163",
"telephone_number": "651-917-3990",
"fax_number": "651-917-3922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESCENTERRA HEALTH CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-23",
"last_updated": "2009-06-23",
"status": "A",
"authorized_official_last_name": "RUTHERFORD",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-917-3990",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MN",
"license": "1853",
"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 Jun 23, 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.