ADVANCE SUPPORT SERVICES
NPI 1265098602
Clinic/Center - Adult Mental Health in Saint Anthony, MN

NPI Status: Active since May 10, 2019

Contact Information

3055 OLD HIGHWAY 8 STE 101A
SAINT ANTHONY, MN
ZIP 55418
Phone: (612) 242-1893

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About ADVANCE SUPPORT SERVICES

This page provides the complete NPI Profile along with additional information for Advance Support Services, a provider established in Saint Anthony, Minnesota operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1265098602 assigned on May 2019. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Balle Warsame (President)

NPI
1265098602
Provider Name
ADVANCE SUPPORT SERVICES
Entity Type
Organization
Location Address
3055 OLD HIGHWAY 8 STE 101A SAINT ANTHONY, MN 55418
Location Phone
(612) 242-1893
Mailing Address
3055 OLD HIGHWAY 8 STE 101A SAINT ANTHONY, MN 55418
Mailing Phone
(612) 242-1893
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2019
Last Update Date
05-10-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BALLE WARSAME

Authorized Official Title
PRESIDENT
Authorized Official Phone
(612) 242-1893

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02OTHER (01)MNMENTAL HEALTH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265098602
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125091660
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 0 + 9 + 1 + 6 + 6 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1265098602 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679948186 ABDIRIZAK SHARIFF AHMED
Individual
Non-emergency Medical Transport (VAN)3055 OLD HIGHWAY 8 STE 101A
ST ANTHONY, MN 55418
(952) 688-3416

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265098602, enumerated in the NPI registry as an "organization" on May 10, 2019

The provider is located at 3055 Old Highway 8 Ste 101a Saint Anthony, Mn 55418 and the phone number is (612) 242-1893

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 10, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.