Provider Demographics
NPI:1225417223
Name:PILLSBURY UNITED COMMUNITIES
Entity Type:Organization
Organization Name:PILLSBURY UNITED COMMUNITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH-BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-302-3444
Mailing Address - Street 1:125 W BROADWAY AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-2245
Mailing Address - Country:US
Mailing Address - Phone:612-302-3444
Mailing Address - Fax:612-827-5818
Practice Address - Street 1:3501 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-2109
Practice Address - Country:US
Practice Address - Phone:612-787-3635
Practice Address - Fax:612-827-5818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare