NPIMap

Organization Active NPI

Centro Cultural Chicano

  • Voluntary or Charitable Agency
  • Minneapolis, MN
National Provider Identifier
1699916601
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
CENTRO CULTURAL CHICANO
Practice address
1915 Chicago Ave
Minneapolis, MN 55404-1904
Phone
(612) 874-1412
Fax
(612) 874-8149
NPI assigned
Mar 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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

Authorized official

Name
Tyrone Guzman
Title
Executive Director
Phone
(612) 874-1412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X MN Primary

Addresses

Primary practice location

1915 Chicago Ave
Minneapolis, MN 55404-1904

Mailing address

1915 Chicago Ave
Minneapolis, MN 55404-1904
Phone (612) 874-1412

National Provider Directory

National Provider Directory
Tax ID family
Centro Cultural Chicano2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1699916601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041904",
            "telephone_number": "612-874-1412",
            "fax_number": "612-874-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041904",
            "telephone_number": "612-874-1412",
            "fax_number": "612-874-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO CULTURAL CHICANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-874-1412"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.