OrganizationActive
Northway Academy, Inc.
NPI 1669056172 · Developmental Disabilities Clinic/Center · Bloomington, MN
Provider details
- NPI number
- 1669056172
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Rodenberg-Roberts, Vp & Sr Asst Gc(952) 836-2234
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
9201 Old Cedar Avenue South
Bloomington, MN 55425-2401
Phone: (952) 854-1800
Fax: (952) 945-4918
Approximate (ZIP-level) locationGet directions
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Other names (DBA / former)
- Doing business as
- Northway Academy, Inc. Bloomington
- Doing business as
- Northway Academy, Inc. Bloomington
Registry dates
- Enumerated
- 2021-05-11
- Last updated
- 2024-01-23
- Certified
- 2024-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.