Provider Demographics
NPI:1982839791
Name:AMERICAN LUNG ASSOCIATION OF THE UPPER MIDWEST
Entity Type:Organization
Organization Name:AMERICAN LUNG ASSOCIATION OF THE UPPER MIDWEST
Other - Org Name:AMERICAN LUNG ASSOCIATION IN MINNESOTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER, RESPIRATORY HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:STEFFENS
Authorized Official - Suffix:
Authorized Official - Credentials:RRT-NPS, AE-C
Authorized Official - Phone:651-268-7587
Mailing Address - Street 1:490 CONCORDIA AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55103-2412
Mailing Address - Country:US
Mailing Address - Phone:651-227-8014
Mailing Address - Fax:651-227-5459
Practice Address - Street 1:490 CONCORDIA AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55103-2412
Practice Address - Country:US
Practice Address - Phone:651-227-8014
Practice Address - Fax:651-227-5459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-22
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable