NPI Code Detail JSON Logo

1891453890 NPI number — ZION MEDICAL TREATMENT CENTER LLC

NPI Number: 1891453890
Health Care Provider/Practitioner: ZION MEDICAL TREATMENT CENTER LLC

Information about “1891453890” NPI (ZION MEDICAL TREATMENT CENTER LLC) exists in 1891453890 in HTML format HTML  |  1891453890 in plain Text format TXT  |  1891453890 in PDF (Portable Document Format) PDF  |  1891453890 in an XML format XML  formats.

NPI Number : 1891453890 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891453890",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ZION MEDICAL TREATMENT CENTER LLC",
    "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": "13770 FRONTIER CT STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BURNSVILLE",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55337-4811",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "651-808-2866",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13770 FRONTIER CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BURNSVILLE",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55337-4810",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "651-808-2866",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/07/2021",
    "LastUpdateDate": "09/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CORVIL",
    "AuthorizedOfficialFirstName": "MARILINE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "612-703-3373",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0850X",
        "TaxonomyName": "Adult Mental Health Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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