Provider Demographics
NPI:1639410715
Name:HEALTHPARTNERS HEALTH PROMOTION DEPARTMENT
Entity Type:Organization
Organization Name:HEALTHPARTNERS HEALTH PROMOTION DEPARTMENT
Other - Org Name:JOURNEYWELL
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-967-6744
Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS 21111H
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-967-6744
Mailing Address - Fax:952-967-6710
Practice Address - Street 1:8170 33RD AVE S
Practice Address - Street 2:MS 21111H
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-4516
Practice Address - Country:US
Practice Address - Phone:952-967-6744
Practice Address - Fax:952-967-6710
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GROUP HEALTH, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service