Organization
NATALIS OUTCOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER HOISTAD (DIRECTOR OF OUTREACH AND INTAKE SER)
(612) 800-6500
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 155, SAINT PAUL, MN 55104-2880
(612) 800-6500
Mailing address
1821 UNIVERSITY AVE W STE 155, SAINT PAUL, MN 55104-2880
(612) 800-6500
(612) 800-6501
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1788
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01B55NA
BLUE CROSS INTERNAL REFERENCE NUMBER
MN
Enumeration date
09/04/2014
Last updated
02/25/2020
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