Organization Active NPI

Minnesota Indian Women'S Resource Center

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1992887863
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
801557-1-CDT Issued in MN
Legal business name
MINNESOTA INDIAN WOMEN'S RESOURCE CENTER
Practice address
2300 15TH Ave S
Minneapolis, MN 55404-3960
Phone
(612) 728-2000
Fax
(612) 728-2039
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Mrs. Lori Magnuson
Title
Finance Director
Phone
(612) 728-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 801557-1-CDT MN Primary

Addresses

Primary practice location

2300 15TH Ave S
Minneapolis, MN 55404-3960

Mailing address

2300 15TH Ave S
Minneapolis, MN 55404-3960
Phone (612) 728-2000

Other identifiers 2

IdentifierTypeStateIssuer
8441666OtherMNMEDICA
0782704OtherMNHENNEPIN COUNTY CHEMICAL

Other names 1

  • MIWRC Other name

National Provider Directory

National Provider Directory
Tax ID family
Minnesota Indian Women'S Resource Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1992887863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 15TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043960",
            "telephone_number": "612-728-2000",
            "fax_number": "612-728-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 15TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043960",
            "telephone_number": "612-728-2000",
            "fax_number": "612-728-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA INDIAN WOMEN'S RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "MAGNUSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "612-728-2006",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "801557-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8441666",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HENNEPIN COUNTY CHEMICAL",
            "identifier": "0782704",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIWRC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 8, 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.