MEDICARE: CATASYS HEALTH MINNESOTA, INC.

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1548599319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATASYS HEALTH MINNESOTA, INC.

Provider Business Mailing Address
First Line	:	11150 SANTA MONICA BLVD
Second Line	:	SUITE 1500
City	:	LOS ANGELES
State	:	CA
Zip	:	90025
Country	:	US
Telephone Number	:	310-444-4300
Fax Number	:

Provider Business Practice Location Address
First Line	:	7825 WASHINGTON AVENUE SOUTH
Second Line	:	SUITE 500, PMB# 600-005
City	:	BLOOMINGTON
State	:	MN
Zip	:	55439
Country	:	US
Telephone Number	:	310-444-4353
Fax Number	:

Authorized Official
Title or Position	:	VP CORPORATE DEVELOPMENT
Name	:	RICHARD IZZO
Credential	:
Telephone Number	:	310-444-4353

Provider Enumeration Date	:	12/08/2009
Last Update Date	:	04/20/2010

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