Provider Demographics
NPI:1821552753
Name:SIMPLY CONNECT
Entity Type:Organization
Organization Name:SIMPLY CONNECT
Other - Org Name:SIMPLY CONNECT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:PATNODE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-931-2219
Mailing Address - Street 1:12400 WHITEWATER DR STE 2010
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343-4162
Mailing Address - Country:US
Mailing Address - Phone:952-931-2219
Mailing Address - Fax:
Practice Address - Street 1:12400 WHITEWATER DR STE 2010
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-4162
Practice Address - Country:US
Practice Address - Phone:952-931-2219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management