COURAGE CENTER (NPI# 1992795280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992795280 |
Entity Type | Organization |
Organization Name | COURAGE CENTER |
Practice Address |
3915 Golden Valley Rd Golden Valley MN 55422-4249 |
Practice Telephone | 7635880811 |
Practice Fax Number | 7635200237 |
Mailing Telephone | 7635880811 |
Mailing Fax Number | 7635200237 |
Enumeration Date | 2005-10-27 |
Last Update Date | 2007-07-13 |
Authorized Official Name | MS. ALICE JOHNSON (CFO) |
Authorized Official Telephone | 7635200206 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | 8356799 | MN | Suppliers |
N | 208100000X | Physical Medicine & Rehabilitation | 8356799 | MN | Allopathic & Osteopathic Physicians |
Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
8356799 | MN | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154673440 | Courage Center | Specialist | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2012-10-10 |
1629120563 | Courage Center | Clinic/Center | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2007-01-18 |
1588716203 | Courage Center | Clinic/Center | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2007-01-16 |
1194754192 | Courage Center | Clinic/Center | 1460 Curve Crest Blvd W, Stillwater, MN 55082-6070 | 2006-07-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | COURAGE CENTER THE | 860 Park Rd, Lexington, SC 29072-9507 |
Street Address |
3915 GOLDEN VALLEY RD |
City | GOLDEN VALLEY |
State | MN |
Zip Code | 55422-4249 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770119703 | Anne Christine Mackin Emanuel | Physical Therapist | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2020-03-21 |
1457910820 | Emily Laura Baumgard | Speech-Language Pathologist | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2019-06-10 |
1255827515 | Abigail Mccall | Physical Therapist | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2018-07-10 |
1962996074 | Daniel Lawrence Lafontaine | Physical Therapist | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2018-06-21 |
1386092062 | Laura Kathryn Hampson | Physical Therapist | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2016-06-02 |
1720435282 | Ashley Ann Roiger | Physical Therapist | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2016-05-15 |
1174989313 | Kelly Kristina Russ | Physical Therapist | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2016-01-04 |
1760853501 | Katherine Tonsager | Physical Therapist | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2015-10-19 |
1205203650 | Rita Hendrickson | Physical Therapist | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2015-09-01 |
1265809974 | Rebecca Worthington | Physical Therapist | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2015-08-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
Find all providers in zip 55422 |
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 |
---|---|---|---|---|
1912283334 | New Directions for Change | Clinic/Center | 6500 Brooklyn Blvd - Lower Level, Brooklyn Center, MN 55429 | 2011-10-31 |
1982922324 | Juel Fairbanks Chemical Dependency Services | Clinic/Center | 804 Albert St N, Saint Paul, MN 55104 | 2010-05-10 |
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 |
1851388920 | Medcentra LLC | Clinic/Center | 225 Smith Ave N, Suite 301, Saint Paul, MN 55102-2534 | 2005-10-04 |
City | GOLDEN VALLEY |
Zip Code | 55422 |
Please comment or provide details below to improve the information on COURAGE CENTER.
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.