PHOENIX
NPI 1972118438
Voluntary or Charitable in North Branch, MN

Q: What is Phoenix's NPI number?

The NPI number for Phoenix is 1972118438. It was assigned to this organization in the NPPES registry on September 11, 2020.

Q: What is Phoenix's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

Q: When was this NPI record last updated?

The NPPES record for Phoenix was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 11, 2020

6697 ELM ST, NORTH BRANCH, MN 55056(651) 795-8759 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phoenix NPPES

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

PHOENIX (NPI 1972118438) is a healthcare organization registered as a voluntary or charitable in North Branch, Minnesota and active in the NPI registry since September 2020. The organization lists Jeremy James Kortus, Co-founder, as its authorized official.

NPPES Registry Identity

NPI1972118438

Entity TypeOrganization

Primary Taxonomy251V00000X

Legal Business NamePHOENIX

Location Address6697 ELM STNorth Branch, MN 55056-7045

Mailing Address6697 Elm StNorth Branch, MN 55056-7045 · (651) 795-8759

Phone(651) 795-8759

Organization SubpartNo

Authorized OfficialJeremy James KortusCo-founder · (651) 795-8759

Enumeration DateSeptember 11, 2020

NPPES CertifiedSeptember 11, 2020

✔ NPI 1972118438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyVoluntary or CharitableAgencies

Taxonomy Code251V00000X

6697 ELM ST, North Branch, MN 55056

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Other Names 1

Doing Business AsPhoenix

Other Providers at the Same Location NPPES

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

SHIFT SOLUTIONS

Community/Behavioral Health

6697 ELM ST
NORTH BRANCH, MN 55056

Chisago County (651) 428-2797

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's NPI number?

The NPI number for Phoenix is 1972118438. It was assigned to this organization in the NPPES registry on September 11, 2020.

Where is Phoenix located?

Phoenix is located at 6697 Elm St, North Branch, MN 55056. The listed phone number is (651) 795-8759.

What is Phoenix's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

When was this NPI record last updated?

The NPPES record for Phoenix was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.