MEDICARE: YWCA OF MINNEAPOLIS

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		MN

General Provider Information

NPI Number	:	1972957033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YWCA OF MINNEAPOLIS

Provider Business Mailing Address
First Line	:	1130 NICOLLET MALL
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-2405
Country	:	US
Telephone Number	:	612-332-0501
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 NICOLLET MALL
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-2405
Country	:	US
Telephone Number	:	612-332-0501
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	RAMYA RAUF
Credential	:
Telephone Number	:	612-215-4140

Provider Enumeration Date	:	04/14/2016
Last Update Date	:	04/14/2016

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Directions to “YWCA OF MINNEAPOLIS ” Practice Location

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