Provider Demographics
NPI:1194432898
Name:HEALTH MANAGEMENT SERVICES INC.
Entity type:Organization
Organization Name:HEALTH MANAGEMENT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VADIM
Authorized Official - Middle Name:
Authorized Official - Last Name:GENOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-670-2147
Mailing Address - Street 1:700 WASHINGTON AVE N UNIT 504
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-1571
Mailing Address - Country:US
Mailing Address - Phone:612-670-2147
Mailing Address - Fax:
Practice Address - Street 1:700 WASHINGTON AVE N UNIT 504
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55401-1571
Practice Address - Country:US
Practice Address - Phone:612-670-2147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service