Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
AMHERST H. WILDER FOUNDATION
Active
Organization
AMHERST H. WILDER FOUNDATION
Active
Other names
Bush Evening Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS GOODWIN (CHIEF ADMINISTRATIVE DIRECTOR)
(651) 280-2000
Entity
Organization
Contact information
Practice address
451 LEXINGTON PKWY N, SAINT PAUL, MN 55104-4636
(651) 280-2000
(651) 280-3995
Mailing address
451 LEXINGTON PKWY N, SAINT PAUL, MN 55104-4636
(651) 280-2000
(651) 280-3995
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
555055600
MEDICAL ASSISTANCE
MN
Enumeration date
10/29/2008
Last updated
10/29/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up