Provider Demographics
NPI:1538118583
Name:AUGUSTANA COMMUNITY PARTNERS
Entity Type:Organization
Organization Name:AUGUSTANA COMMUNITY PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF THERAPY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOEPNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-238-5426
Mailing Address - Street 1:1007 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-1314
Mailing Address - Country:US
Mailing Address - Phone:612-238-5426
Mailing Address - Fax:
Practice Address - Street 1:1007 E 14TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-1314
Practice Address - Country:US
Practice Address - Phone:612-238-5426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN246597Medicare ID - Type Unspecified