JUEL FAIRBANKS CHEMICAL DEPENDENCY SERVICES (NPI# 1982922324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982922324 |
| Entity Type | Organization |
| Organization Name | JUEL FAIRBANKS CHEMICAL DEPENDENCY SERVICES |
| Practice Address |
804 Albert St N Saint Paul MN 55104 |
| Mailing Address |
806 Albert St N Saint Paul MN 55104-1303 |
| Practice Telephone | 6512820460 |
| Practice Fax Number | 6516441126 |
| Mailing Telephone | 6512820460 |
| Mailing Fax Number | 6516441126 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-05-10 |
| Authorized Official Name | JANICE LINDSTROM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6512820460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
803854-3-CDT | MN | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649440355 | Juel Fairbanks Chemical Dependency Services | Substance Abuse Rehabilitation Facility | 806 Albert St N, Saint Paul, MN 55104-1303 | 2008-03-10 |
| Street Address |
804 ALBERT ST N |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851388920 | Medcentra LLC | Clinic/Center | 225 Smith Ave N, Suite 301, Saint Paul, MN 55102-2534 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912283334 | New Directions for Change | Clinic/Center | 6500 Brooklyn Blvd - Lower Level, Brooklyn Center, MN 55429 | 2011-10-31 |
| 1376514539 | Pediatric Therapy Services Inc | Clinic/Center | 150 Saint Andrews Ct, Suite 310, Mankato, MN 56001-8659 | 2006-01-27 |
| 1265784862 | Interventional Pain & Physical Medicine Clinic | Clinic/Center | 2301 Connecticut Ave S, Sartell, MN 56377-2474 | 2012-10-05 |
| 1184768277 | Rice Memorial Hospital | Clinic/Center | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2007-02-20 |
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on JUEL FAIRBANKS CHEMICAL DEPENDENCY SERVICES.
| 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.