PHOENIX SERVICE CORPORATION
NPI 1881645067
Case Management in West St Paul, MN

Active since May 13, 2006CLIA 24D2086651 · Waiver
330 MARIE AVE E, WEST ST PAUL, MN 55118(651) 227-7655(651) 227-6847 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoenix Service Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX SERVICE CORPORATION (NPI 1881645067) is a healthcare organization registered as a case management in West St Paul, Minnesota and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 6, 2026 and lists Darlene M Scott, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1881645067
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NamePHOENIX SERVICE CORPORATION
Location Address330 MARIE AVE EWest St Paul, MN 55118-4011
Mailing Address330 Marie Ave EWest St Paul, MN 55118-4011 · (651) 227-7655 · Fax (651) 227-6847
Fax(651) 227-6847
Organization SubpartNo
Authorized OfficialDarlene M ScottPresident/ceo · (651) 227-7655
Enumeration DateMay 13, 2006
Last NPPES UpdateJuly 17, 2014
NPI 1881645067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
License Licensed in MN · 1069741-1-HCBS
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Also ListedNursing CareTaxonomy 251J00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 1069741-1-HCBS (MN)
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License 1014199-1-WS (MN)
330 MARIE AVE E, West St Paul, MN 55118

Other Identifiers 1

Medicaid596555100MN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2086651

Phoenix Service Corporation · Saint Paul, MN
Active · expires Nov 6, 2026
CLIA Number24D2086651
Laboratory Type245D Provider
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorKimberly E. Human
Laboratory Phone(651) 227-7655
Laboratory LocationPhoenix Service Corporation222 Plato Blvd East, Saint Paul, MN 55107
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
330 MARIE AVE E
WEST SAINT PAUL, MN 55118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Service Corporation's NPI number?

The NPI number for Phoenix Service Corporation is 1881645067. It was assigned to this organization in the NPPES registry on May 13, 2006.

Where is Phoenix Service Corporation located?

Phoenix Service Corporation is located at 330 Marie Ave E, West St Paul, MN 55118. The listed phone number is (651) 227-7655.

What is Phoenix Service Corporation's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

Does Phoenix Service Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2086651) is associated with this NPI, valid through November 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Phoenix Service Corporation was last updated on July 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.