Organization · NPI-2

Summit Fiscal Agency

Supports Brokerage · Minneapolis, MN

NPI number1285174805
StatusActive
Last updated in NPPESMar 1, 2017

Details

NPI
1285174805
Entity type
Organization (NPI-2)
Legal business name
Summit Fiscal Agency
Organization subpart
No
Enumeration date
Mar 1, 2017
Last updated
Mar 1, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251X00000X Supports BrokerageM697635201MNYes

Practice location

724 Central Ave Se
Minneapolis, MN 55414-1121

Phone 612-977-3100 · Fax 612-977-3980

Mailing address

724 Central Ave Se
Minneapolis, MN 55414-1121

Phone 612-977-3100 · Fax 612-977-3980

Authorized official

Chris R Smith
Program Director
6129773952

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Supports Brokerage providers in Minneapolis, MN