Provider Demographics
NPI:1356532964
Name:FILMTEC CORPORATION
Entity type:Organization
Organization Name:FILMTEC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REP OF FILMTEC
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BAASE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-636-6542
Mailing Address - Street 1:5400 DEWEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2085
Mailing Address - Country:US
Mailing Address - Phone:952-897-4252
Mailing Address - Fax:952-838-3991
Practice Address - Street 1:5400 DEWEY HILL RD
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2085
Practice Address - Country:US
Practice Address - Phone:952-897-4252
Practice Address - Fax:952-838-3991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care