Organization Active NPI

Minnesota Community Services

  • Community/Behavioral Health Agency
  • Hopkins, MN
National Provider Identifier
1851644991
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINNESOTA COMMUNITY SERVICES
Practice address
910 1St St S Unit 782
Hopkins, MN 55343-7797
Phone
(952) 583-3264
Fax
(952) 236-6675
NPI assigned
Oct 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Dr. Ivy Mairura
Title
Executive Director
Phone
(952) 583-3264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

910 1St St S Unit 782
Hopkins, MN 55343-7797

Mailing address

PO Box 782
Hopkins, MN 55343-0782

National Provider Directory

National Provider Directory
Tax ID family
Minnesota Community Services2 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.

Locations

910 1st St S
Unit 782
Hopkins, MN 55343
Phone (952) 583-3264

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1851644991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 782",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553430782",
            "fax_number": "952-236-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 1ST ST S UNIT 782",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437797",
            "telephone_number": "952-583-3264",
            "fax_number": "952-236-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "MAIRURA",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "952-583-3264",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.