Healthcare Provider Details

I. General information

NPI: 1609923853
Provider Name (Legal Business Name): ACCORD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 ENERGY PARK DRIVE
ST. PAUL MN
55108
US

IV. Provider business mailing address

1515 ENERGY PARK DRIVE
ST. PAUL MN
55108
US

V. Phone/Fax

Practice location:
  • Phone: 612-362-4400
  • Fax: 612-362-4479
Mailing address:
  • Phone: 612-362-4400
  • Fax: 612-362-4479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RITA WIERSMA
Title or Position: ACCORD CEO
Credential:
Phone: 612-362-4404