GENERATIONS COMMUNITY SUPPORT SERVICE – NPI #1861440919
Clinic/Center

GENERATIONS COMMUNITY SUPPORT SERVICE is an AHC clinic located in WEST SAINT PAUL, MN. NPPES has assigned the NPI number 1861440919 to GENERATIONS COMMUNITY SUPPORT SERVICE on May 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 GENERATIONS COMMUNITY SUPPORT SERVICE below.

NPI Profile for
GENERATIONS COMMUNITY SUPPORT SERVICE

NPI Number
1861440919
Enumeration Date

(more than 20 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
GENERATIONS COMMUNITY SUPPORT SERVICE
Primary location
60 E MARIE ST
#117
WEST SAINT PAUL, MN 55118
Phone: (612) 676-1604 Fax: (651) 552-9874
Mailing address
2649 PARK AVE
MINNEAPOLIS, MN 55407
Phone: (612) 676-1604 Fax: (612) 379-8235
Organization Subpart
No
Authorized Official
KATHLEEN GORMAN
PRESIDENT
Phone: (612) 676-1604
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.