NPIMap

Organization Active NPI

Health Activation Services, PLLC

Doing business as Airport Medical Clinic and Northworks Occupational Health

  • Occupational Medicine Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1902035603
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
1748 Issued in MN
Legal business name
HEALTH ACTIVATION SERVICES, PLLC
Doing business as
Airport Medical Clinic and Northworks Occupational Health
Practice address
7550 34TH Ave S
Minneapolis, MN 55450-1124
Phone
(612) 727-1167
Fax
(612) 767-3525
NPI assigned
Jul 2, 2009
Last updated
Mar 1, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH ACTIVATION SERVICES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Ms. Jennifer Dunleavy
Title
HR
Phone
(612) 398-8835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 1748 MN Primary

Addresses

Primary practice location

7550 34TH Ave S
Minneapolis, MN 55450-1124

Mailing address

4080 W Broadway Ave
Suite 200
Robbinsdale, MN 55422-5604
Phone (763) 398-8835

Other names 1

  • Airport Medical Clinic and Northworks Occupational Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Activation Services PLLC3 organizations share this tax ID, including this one
Part of
Health Activation Services PLLC

Other organizations with this tax ID 2

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": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1902035603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 W BROADWAY AVE",
            "address_2": "SUITE 200",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554225604",
            "telephone_number": "763-398-8835",
            "fax_number": "763-398-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 34TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554501124",
            "telephone_number": "612-727-1167",
            "fax_number": "612-767-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ACTIVATION SERVICES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH ACTIVATION SERVICES, PLLC",
        "enumeration_date": "2009-07-02",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "DUNLEAVY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "612-398-8835",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MN",
            "license": "1748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Airport Medical Clinic and Northworks Occupational Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 1, 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.