MN Billing Services

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

License

3991025-2 Issued in MN

Legal business name

MN BILLING SERVICES

Practice address

4893 Boatman LN
Inver Grove, MN 55076-1160

Phone

(612) 636-8986

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Kassim M Abdille

Title

President

Phone

(612) 636-8986

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1891004701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4893 BOATMAN LN",
            "city": "INVER GROVE",
            "state": "MN",
            "postal_code": "550761160",
            "telephone_number": "612-636-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4893 BOATMAN LN",
            "city": "INVER GROVE",
            "state": "MN",
            "postal_code": "550761160",
            "telephone_number": "612-636-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MN BILLING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "ABDILLE",
        "authorized_official_first_name": "KASSIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-636-8986"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "MN",
            "license": "3991025-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Supports Brokerage Agency in Inver Grove, MN
• Providers in Inver Grove, MN by specialty
• Supports Brokerage Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.