Organization Active NPI

Cami Community Health and Trauma Recovery LLC

  • Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1699495796
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CAMI COMMUNITY HEALTH AND TRAUMA RECOVERY LLC
Practice address
2136 Ford Pkwy # 5481
Saint Paul, MN 55116-2850
Phone
(612) 466-0315
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Casie IwataNPI 1740784859
Title
Owner
Phone
(612) 466-0315

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2136 Ford Pkwy # 5481
Saint Paul, MN 55116-2850

Mailing address

2136 Ford Pkwy # 5481
Saint Paul, MN 55116-2850

National Provider Directory

National Provider Directory

Locations

2136 Ford Pkwy
#5481
Saint Paul, MN 55116
Phone (612) 466-0315

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1699495796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY # 5481",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY # 5481",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850",
            "telephone_number": "612-466-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMI COMMUNITY HEALTH AND TRAUMA RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "IWATA",
        "authorized_official_first_name": "CASIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-466-0315"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Dec 27, 2022; 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.