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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NORTHERN LIGHTS ATHLETE VILLAGE

Active Organization

NORTHERN LIGHTS ATHLETE VILLAGE is a Case Management Agency organization located in BLOOMINGTON, Minnesota. NPI 1376727735 is currently active in the NPPES registry. Verify at CMS.

Case Management Agency · BLOOMINGTON, MN

Registration Details

NPI Number
1376727735
Provider Type
Organization
NPI Issued
Dec 20, 2007 (18.667642646348 yrs)
Last Updated
Dec 20, 2007
License
1411 (MN)

Practice Information

Address
8109 BRYANT AVE S
BLOOMINGTON, MN, 554205711
Browse MN providers · Browse ZIP 55420
Phone
9528884311
Primary Specialty
Case Management Agency
251B00000X

Other Case Management Agency Organizations in BLOOMINGTON, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.