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1790635175 NPI number — ECUMEN

NPI Number: 1790635175
Health Care Provider/Practitioner: ECUMEN

Information about “1790635175” NPI (ECUMEN) exists in 1790635175 in HTML format HTML  |  1790635175 in plain Text format TXT  |  1790635175 in PDF (Portable Document Format) PDF  |  1790635175 in an XML format XML  formats.

NPI Number : 1790635175 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790635175",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ECUMEN",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3530 LEXINGTON AVE N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHOREVIEW",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55126-8166",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "651-766-4300",
    "MailingAddressFaxNumber": "651-766-4479",
    "FirstLinePracticeLocationAddress": "203 N ARMSTRONG AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LITCHFIELD",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55355-2272",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "320-221-2311",
    "PracticeLocationAddressFaxNumber": "320-373-2200",
    "EnumerationDate": "02/03/2026",
    "LastUpdateDate": "02/03/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HARRISON",
    "AuthorizedOfficialFirstName": "DOUGLAS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "651-766-4300",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "311500000X",
          "TaxonomyName": "Alzheimer Center (Dementia Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "314000000X",
          "TaxonomyName": "Skilled Nursing Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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