Provider Demographics
NPI:1669214920
Name:A HEALTHIER DEMOCRACY
Entity type:Organization
Organization Name:A HEALTHIER DEMOCRACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUXIN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:857-205-5849
Mailing Address - Street 1:3112 HOLMES AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2629
Mailing Address - Country:US
Mailing Address - Phone:857-205-5849
Mailing Address - Fax:
Practice Address - Street 1:12 MOHAWK ST UNIT 9
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02127-3594
Practice Address - Country:US
Practice Address - Phone:848-218-0009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-08
Last Update Date:2024-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or Charitable
No251K00000XAgenciesPublic Health or Welfare