Organization Active NPI

Clinical Benefit Group, Inc.

  • Public Health or Welfare Agency
  • Golden Valley, MN
National Provider Identifier
1861859563
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CLINICAL BENEFIT GROUP, INC.
Practice address
800 Boone Ave N
Suite 180
Golden Valley, MN 55427-4468
Phone
(763) 417-8888
NPI assigned
Jan 26, 2016
Last updated
Jan 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Mark Olshansky
Title
Director
Phone
(763) 417-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

800 Boone Ave N
Suite 180
Golden Valley, MN 55427-4468

Mailing address

800 Boone Ave N
Suite 180
Golden Valley, MN 55427-4468

National Provider Directory

National Provider Directory

Locations

800 Boone Ave N
Ste 180
Golden Valley, MN 55427
Phone (763) 417-8888

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1861859563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BOONE AVE N",
            "address_2": "SUITE 180",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BOONE AVE N",
            "address_2": "SUITE 180",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274468",
            "telephone_number": "763-417-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL BENEFIT GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "OLSHANSKY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-417-8888"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.