Provider Demographics
NPI:1386234730
Name:MINNESOTA CAREPARTNER, LLC
Entity type:Organization
Organization Name:MINNESOTA CAREPARTNER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATY
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:ARMENDARIZ
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:612-289-5656
Mailing Address - Street 1:393 DUNLAP ST N STE 300
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4207
Mailing Address - Country:US
Mailing Address - Phone:612-289-5656
Mailing Address - Fax:651-925-0278
Practice Address - Street 1:393 DUNLAP ST N STE 300
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4207
Practice Address - Country:US
Practice Address - Phone:612-289-5656
Practice Address - Fax:651-925-0278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1780011510Medicaid