MEDICARE: VOLUNTEERS OF AMERICA MN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility	1004840-2-CRF	MN
2	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	5053680	OTHER	UBH PROVIDER NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	6C06CH	OTHER	BC/BS MN PROVIDER NUMBER

General Provider Information

NPI Number	:	1275592081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOLUNTEERS OF AMERICA MN

Provider Business Mailing Address
First Line	:	7625 METRO BLVD
Second Line	:	SUITE 200
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55439
Country	:	US
Telephone Number	:	952-945-4062
Fax Number	:	888-972-4523

Provider Business Practice Location Address
First Line	:	2000 HOPKINS CROSSROAD
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55305
Country	:	US
Telephone Number	:	763-252-4526
Fax Number	:	888-972-4523

Authorized Official
Title or Position	:	VICE PRESIDENT AND CHIEF FINANCIAL
Name	:	DEB STEINKE IV
Credential	:
Telephone Number	:	952-945-4041

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	05/13/2024

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Directions to “VOLUNTEERS OF AMERICA MN ” Practice Location

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