NPIMap

Organization Active NPI

Northland Afc,Inc

  • Developmentally Disabled Services Day Training Agency
  • Duluth, MN
National Provider Identifier
1740475169
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1036988-1-WS Issued in MN
Legal business name
NORTHLAND AFC,INC
Practice address
3411 Decker Rd
Duluth, MN 55811-2955
Phone
(218) 722-2585
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Mark Nash
Title
Executive Director
Phone
(218) 722-2585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1036988-1-WS MN Primary

Addresses

Primary practice location

3411 Decker Rd
Duluth, MN 55811-2955

Mailing address

101 W 2ND St
Suite 209
Duluth, MN 55802-2086
Phone (218) 722-2585

National Provider Directory

National Provider Directory
Tax ID family
Northland Afcinc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1740475169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 2ND ST",
            "address_2": "SUITE 209",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022086",
            "telephone_number": "218-722-2585",
            "fax_number": "218-722-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 DECKER RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112955",
            "telephone_number": "218-722-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND AFC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-722-2585"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MN",
            "license": "1036988-1-WS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.