AXIS BEHAVIORAL HEALTH, INC – NPI #1497217699
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

AXIS BEHAVIORAL HEALTH, INC is a substance abuse rehabilitation facility located in SAINT CLOUD, MN. NPPES has assigned the NPI number 1497217699 to AXIS BEHAVIORAL HEALTH, INC on April 05, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

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 AXIS BEHAVIORAL HEALTH, INC below.

NPI Profile for
AXIS BEHAVIORAL HEALTH, INC

NPI Number
1497217699
Enumeration Date

(more than 7 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
AXIS BEHAVIORAL HEALTH, INC
Primary location
740 12TH AVE S
SAINT CLOUD, MN 56301-4219
Phone: (612) 644-3912 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BOSTEYA FARAH
PRESIDENT
Phone: (612) 644-3912
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
324500000X
- Substance Abuse Rehabilitation Facility (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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
SECURE ENCRYPTED EMAIL
Content Type
Affiliation
N
Endpoint Location
740 12TH AVE S,
SAINT CLOUD, MN 77025-1669