AMHERST H. WILDER FOUNDATION – NPI #1144397050
Clinic/Center

AMHERST H. WILDER FOUNDATION is an AHC clinic located in SAINT PAUL, MN. NPPES has assigned the NPI number 1144397050 to AMHERST H. WILDER FOUNDATION on November 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. AMHERST H. WILDER FOUNDATION is also known by the name CADI WAIVER. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMHERST H. WILDER FOUNDATION below.

NPI Profile for
AMHERST H. WILDER FOUNDATION

NPI Number
1144397050
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AMHERST H. WILDER FOUNDATION
Other Name: CADI WAIVER
Primary location
919 LAFOND AVE
SAINT PAUL, MN 55104-2108
Phone: (651) 642-4000 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CRAIG BINGER
VICE PRESIDENT ADMINISTRATION
Phone: (651) 642-4000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.