Organization Active NPI

Courage Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Golden Valley, MN
National Provider Identifier
1992795280
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
8356799 Issued in MN
Legal business name
COURAGE CENTER
Practice address
3915 Golden Valley Rd
Golden Valley, MN 55422-4249
Phone
(763) 588-0811
Fax
(763) 520-0237
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Ms. Alice Johnson
Title
Cfo
Phone
(763) 520-0206

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 8356799 MN
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 8356799 MN Primary
Durable Medical Equipment & Medical Supplies 332B00000X 8356799 MN

Addresses

Primary practice location

3915 Golden Valley Rd
Golden Valley, MN 55422-4249

Mailing address

3915 Golden Valley Rd
Golden Valley, MN 55422-4249
Phone (763) 588-0811

National Provider Directory

National Provider Directory

Locations

303 Catlin St
Ste 110
Buffalo, MN 55313
Phone (763) 682-1212

7770 Dell Rd
Chanhassen, MN 55317

3960 Coon Rapids Blvd NW
Ste 204
Coon Rapids, MN 55433

3955 Parklawn Ave
Ste 100
Edina, MN 55435
Phone (952) 285-3722

35 State Ave
Ste 1
Faribault, MN 55021
Phone (507) 497-3528

500 Osborne Rd NE
Ste 100
Fridley, MN 55432
Phone (763) 236-2750

500 Osborne Rd NE
Ste 225
Fridley, MN 55432

1467 Adams St SE
Ste 1
Hutchinson, MN 55350
Phone (320) 484-4564

2805 Campus Dr
Ste 450
Minneapolis, MN 55441

7231 Sunwood Dr NW
Ste A
Ramsey, MN 55303
Phone (763) 236-0006

255 Smith Ave N
Ste 200
Saint Paul, MN 55102
Phone (651) 726-2766

255 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 241-5000

2120 Ford Pkwy
Ste 100
Saint Paul, MN 55116

167 Grand Ave
Saint Paul, MN 55102
Phone (651) 222-0555

8675 Valley Creek Rd
Ste 210
Saint Paul, MN 55125

4176 Lexington Ave N
Shoreview, MN 55126

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1992795280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224249",
            "telephone_number": "763-588-0811",
            "fax_number": "763-520-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224249",
            "telephone_number": "763-588-0811",
            "fax_number": "763-520-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "763-520-0206",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "8356799",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "MN",
            "license": "8356799",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "8356799",
            "primary": false
        }
    ],
    "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 Jul 13, 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.