SPECIALIZED MEDICAL RESPONSE, LLC (NPI# 1730487208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730487208 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED MEDICAL RESPONSE, LLC |
| Practice Address |
401 Harding St Ne #100 Minneapolis MN 55413 |
| Mailing Address |
401 Harding St Ne # 100 Minneapolis MN 55413-2801 |
| Practice Telephone | 6515710000 |
| Mailing Telephone | 6123987000 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2020-01-17 |
| Authorized Official Name | BENNETT WILLIAM CLARK (CMO) |
| Authorized Official Telephone | 6123987000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134751274 | Specialized Medical Response, LLC | Internal Medicine | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2020-02-06 |
| Street Address |
401 HARDING ST NE #100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372274 | Alysia R Schwartz | Counselor | 2155 E Hennepin Ave, Minneapolis, MN 55413 | 2019-12-09 |
| 1427609304 | Lingguang Liu | Acupuncturist | 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 | 2019-09-23 |
| 1437708617 | Dream Home Health Care Inc | Home Health | 2021 E Hennepin Ave, Ste 190, Minneapolis, MN 55413 | 2019-09-10 |
| 1831746536 | Aline Care | Case Management | 1730 New Brighton Blvd Ste 300, Minneapolis, MN 55413 | 2019-08-19 |
| 1073171534 | Relate Nutrition & Therapy | Dietitian, Registered | 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 | 2019-05-30 |
| 1740703461 | Emily Rudert | Counselor | 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 | 2017-07-25 |
| 1316305485 | Capital Transportation LLC | Non-emergency Medical Transport (VAN) | 34 13th Ave Ne #b004, Minneapolis, MN 55413 | 2016-02-04 |
| 1861819989 | Traditionally Healthy | Chiropractor | 1211 Jackson St Ne, Suite 121, Minneapolis, MN 55413 | 2014-03-26 |
| 1588000871 | Aztec's Transportation and Home-care LLC | Non-emergency Medical Transport (VAN) | 843 Summer St Ne #2, Minneapolis, MN 55413 | 2013-05-14 |
| 1114285418 | Best Care Transportation | Non-emergency Medical Transport (VAN) | 2021 E Hennepin Ave Ste. 187, Minneapolis, MN 55413 | 2012-04-25 |
| Find all providers in zip 55413 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053952606 | Fairview Express Care | Clinic/Center | 2512 6th Street, Suite F105, Minneapolis, MN 55454-1401 | 2019-10-04 |
| 1477598118 | University of Minnesota Physicians | Clinic/Center | 420 Delaware St Se Mmc 126, University of Minnesota Physicians, Minneapolis, MN 55455-0341 | 2006-06-17 |
| 1346883584 | Select Health Pain and Regenerative Solutions Pa | Clinic/Center | 7300 France Ave S, Minneapolis, MN 55435-4525 | 2019-10-21 |
| 1285116087 | Healing Path Wellness Services Pa | Clinic/Center | 115 E Lake St, Minneapolis, MN 55408-3115 | 2018-08-29 |
| 1215394986 | Medical Care Innovation, P.C. | Clinic/Center | 1 General Mills Blvd, Minneapolis, MN 55426-1347 | 2016-01-26 |
| 1962808790 | International Psychological and Social Service Agency | Clinic/Center | 1625 Park Ave, Minneapolis, MN 55404-1634 | 2014-11-05 |
| 1225368541 | Fairview Clinics | Clinic/Center | 2525 University Ave Se, Minneapolis, MN 55414-3205 | 2010-01-08 |
| 1194051151 | Group Health Plan Inc | Clinic/Center | 8170 33rd Ave S, Ms 21110q, Minneapolis, MN 55425-4516 | 2009-10-27 |
| 1003142068 | Group Health Plan Inc | Clinic/Center | 8170 33rd Ave S, Ms 21110q, Minneapolis, MN 55425-4516 | 2009-10-27 |
| 1326287988 | Group Health Plan Inc | Clinic/Center | 8170 33rd Ave S, Mailstop 21110q, Minneapolis, MN 55425-4516 | 2009-02-05 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55413 |
Please comment or provide details below to improve the information on SPECIALIZED MEDICAL RESPONSE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.