SAGE PRAIRIE
NPI 1891031209
Internal Medicine - Addiction Medicine in Minneapolis, MN

Q: What is Medical Addiction Treatment Clinic's NPI number?

The NPI number for Medical Addiction Treatment Clinic is 1891031209. It was assigned to this organization in the NPPES registry on December 13, 2012. The provider is doing business as Sage Prairie.

Q: What is Medical Addiction Treatment Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Active since December 13, 2012

3805 WASHINGTON AVE N, MINNEAPOLIS, MN 55412(612) 887-6282(612) 437-4992 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2022, Jul 5, 2018 (2 updates tracked since 2018).

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About Sage Prairie NPPES

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

SAGE PRAIRIE (NPI 1891031209) is a healthcare organization registered as an addiction medicine in Minneapolis, Minnesota and active in the NPI registry since December 2012. The organization lists Anne M Pylkas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891031209

Entity TypeOrganization

Primary Taxonomy207RA0401X

Legal Business NameMEDICAL ADDICTION TREATMENT CLINIC

Location Address3805 WASHINGTON AVE NMinneapolis, MN 55412-2141

Mailing Address3805 Washington Ave NMinneapolis, MN 55412-2141 · (612) 887-6282 · Fax (612) 437-4992

Phone(612) 887-6282

Fax(612) 437-4992

Organization SubpartNo

Authorized OfficialAnne M PylkasCeo · (612) 435-7380

Enumeration DateDecember 13, 2012

Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration

NPPES CertifiedAugust 17, 2022

✔ NPI 1891031209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in MN · 52519

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 12684 (MN)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

3805 WASHINGTON AVE N, Minneapolis, MN 55412

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Other Names 1

Doing Business AsSage Prairie

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 6

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

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