HEALTH START SBC CREATIVE ARTS


Address: 65 Kellogg Blvd E, Saint Paul, MN 55101-1106
Phone: 6516027500

HEALTH START SBC CREATIVE ARTS (NPI# 1205397395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205397395
Entity Type Organization
Organization Name HEALTH START SBC CREATIVE ARTS
Practice Address 65 Kellogg Blvd E
Saint Paul
MN 55101-1106
Practice Telephone 6516027500
Practice Fax Number 6516027580
Mailing Telephone 6516027500
Mailing Fax Number 6516027580
Enumeration Date 2019-03-29
Last Update Date 2019-03-29
Authorized Official Name BLAKE DARSOW (CFO)
Authorized Official Telephone 6516027537
Is Organization Subpart Y
Parent Organization Name WEST SIDE COMMUNITY HEALTH SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Office Location

Street Address 65 KELLOGG BLVD E
City SAINT PAUL
State MN
Zip Code 55101-1106

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1699284919 Eric Mcgillis Emergency Medicine Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 2017-09-29
1073051751 Hannah Elizabeth Rosenthal Danielson Physician Assistant 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 2017-02-02
1992182323 Theresa Annette Cashdollar-powell Social Worker 640 Jackson, St Paul, MN 55101 2015-05-06
1770986101 Margaret Augusta Cutter Physician Assistant 200 Univeristy Ave E, Saint Paul, MN 55101 2014-09-30
1851641419 Lisa Rae Caturia Occupational Therapy Assistant 640 Jackson St, 8th Floor, St Paul, MN 55101 2012-09-11
1558619478 Rph On The Go Community/Behavioral Health 172 E 6th Street, 704, Saint Paul, MN 55101 2012-08-27
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194902072 West Side Community Health Services, Inc Clinic/Center 1212 University Ave W, Saint Paul, MN 55104-4123 2008-01-23
1932392727 West Side Community Health Services, Inc. Clinic/Center 740 Rose Ave W, Saint Paul, MN 55117-4042 2007-08-24
1023201811 West Side Community Health Services, Inc. Clinic/Center 275 Lexington Pkwy N, Saint Paul, MN 55104-5402 2007-08-24
1881887032 West Side Community Health Services, Inc. Clinic/Center 1540 6th St E, Saint Paul, MN 55106-4806 2007-08-21
1407049653 West Side Community Health Services, Inc. Clinic/Center 1015 Snelling Ave S, Saint Paul, MN 55116-2447 2007-08-21
1649394727 West Side Community Health Services, Inc. Clinic/Center 30 Baker St E, Saint Paul, MN 55107-2966 2007-03-16
1083765135 West Side Community Health Services, Inc. Clinic/Center 1349 Arcade St, Saint Paul, MN 55106-1801 2007-01-16
1821149964 West Side Community Health Services, Inc. Clinic/Center 1544 Timberlake Rd, Saint Paul, MN 55117-3946 2007-01-16
1295886208 West Side Community Health Services, Inc Clinic/Center 183 Old Sixth Street, Saint Paul, MN 55102-1026 2007-01-16
1104977255 West Side Community Health Services, Inc. Clinic/Center 435 University Ave E, Saint Paul, MN 55101-4437 2007-01-16
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Competitor

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City SAINT PAUL
Zip Code 55101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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